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Here's how much Oklahoma is losing since it didn't expand Medicaid Published: February 28, 2014

Following a 2012 Supreme Court ruling that made Medicaid expansion under the Affordable Care Act optional for states, 20 states have opted out of the reform, rejecting billions of dollars of federal funding for low-income residents, the Huffington Post reports.

Many of the states refusing to expand Medicaid under the ACA cite potentially harmful fiscal impacts on their state budgets, although expanding Medicaid coverage costs less than 1 percent of state budgets on average, according to a December report by the Commonwealth Fund.

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