Senator Alexander has raised some excellent points there because Governors only have so much revenue they can deal with; they cannot invent it, if you know what I am saying. So Governors have to figure out what the needs of the State are. If the Federal Government is taking that decision away from Governors by forcing them into expanding their Medicaid, there is going to be less money available for programs such as K 12 education, higher education. Let me, if I might, turn to our colleague Senator Hoeven. He was a Governor for 10 years in the State of North Dakota. Will the Senator please explain the impact Medicaid expansion would have on budget decisions as a Governor and the impact the health care bill is going to have on the Senator's State.
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