Barack Obama

Traditionally, Medicaid which is always a part of it, was funded at 51% by the federal government and the states had to follow their regulations as the government had that control. Now with the ACA Medicaid expansion, even more control ceded to the federal government, but the states run by red governors, AGs and legislatures have gone to court to deny Medicaid totally to escape all rules. People are dying because of it, that the ACA expansion was set up to save, and the state leges are the Death Panels we were warned about. Numerous examples from TN, TX, AZ and the like opposing Medicaid.

As far as the SSI straight cash or supplement by states, that is a different thing. The feds don't control it as they do SS and SSDI programs. I may be all messed up but I am running around here and just wanted to bookmark this reply and will work on it later.