If congressional Republicans go through with some of the deep Medicaid cuts they are considering<\/a>, three states would be left in an especially tight bind.<\/p>\n

South Dakota, Missouri and Oklahoma have state constitutions requiring that they participate in Medicaid expansion, the part of Obamacare that expanded the health program for the poor to millions of adults.<\/p>\n

If Republicans choose<\/a> to make the projected budget reductions by cutting into Medicaid expansion, the other 37 states (and D.C.) that participate in the expansion could stop covering working-class adults. Nine states<\/a> have laws explicitly requiring them to stop Medicaid expansion or make significant changes if the federal share of spending drops.<\/p>\n<\/div>\n