South Dakota Governor Dennis Daugaard says until the Federal Government proves it's fiscally responsible, he's against expanding Medicaid.
If South Dakota expands Medicaid, the Federal Government would pay $2.1 billion from 2014 through 2020 to cover an additional 48,000 people in the insurance program for low-income people.
The state would pay $102 million for the expansion during those years.
Governor Daugaard said he's uncertain the federal government can afford to pay the bulk of the cost.
"The federal government really needs to demonstrate that they have some discipline in their financial management before I'm willing to put South Dakota on a course where we're dependent on a Federal income stream that doesn't appear," said Governor Daugaard.
The governor says he's not saying the state should never expand Medicaid; he just wants to wait it out until lawmakers regain confidence in the Federal Government's financial status.