Joseph Pitts actually said...

"While we expect all States to participate in the Medicaid expansion because it is an advantageous fiscal arrangement, I am troubled and discouraged that there are many who still have not decided to ex..."

"Clearly, we are failing those most in need of our help."

"We need to provide States with the flexibility to pursue these options, not lock them in a one-size-fits-all model dictated by Washington."

"Medicaid is in trouble."