Recode has learned that the states that are set to receive a big infusion of money from the Affordable Care Act, known as Obamacare, are all in the West.
They include California, Oregon, Washington, Hawaii, Minnesota, Alaska and Connecticut.
They have all passed the most stringent requirements of Medicaid expansion.
California is the state that is currently the most vulnerable.
Its state budget is already on track to run out of money by March.
In Oregon, a similar fate is awaiting the state’s first Medicaid expansion in over a decade.
Meanwhile, California and Oregon are in the middle of a massive budget fight over who gets the state $12 billion in Medicaid money, and Oregon Gov.
Kate Brown is already calling for the state to get rid of the program, arguing that it is being used to subsidize the cost of prescription drugs for Californians.
Meanwhile in Washington, which is expected to receive $6.8 billion in Obamacare Medicaid money in 2019, the governor is demanding a full repeal of Obamacare, and the legislature is expected soon to vote to do so.
It is not clear how much of the money the state is expected or even able to spend on healthcare.
The federal government has already paid for a lot of it, as it has spent a total of $8.7 billion to date.