“Sebelius: ‘This Is Not A Bait-And-Switch’”
“Sebelius reminded lawmakers that the health-care law doesn’t hold states to their initial decisions on the anchor provisions. States have the final say on Medicaid. Sebelius’ agency, meanwhile, will run exchanges in states where governors and legislatures refuse.
Sebelius assured lawmakers that “this is not a bait-and-switch,” and she noted that several states that plan to accept Medicaid expansion have required in law that they withdraw from the program if a future Congress ever reneges on the 90-10 cost split.”