Here is an explanation from a few years ago by Louisiana's then-Gov. Bobby Jindal about why the Obamacare Medicaid expansion is a bad deal for states.

Gov. Bobby Jindal: Why I opposed Medicaid expansion

One of the most contested issues in Louisiana's most recently completed regular legislative session was the debate over Medicaid expansion. The U.S. Supreme Court's ruling allowed states to decide for themselves whether to participate in this provision of the Affordable...

from FB-RSS feed for Stop Obamacare Expansion in Oklahoma http://www.nola.com/opinions/index.ssf/2013/07/gov_bobby_jindal_why_i_opposed.html