Elana Gordon

Elana Gordon covers the health beat at KCUR. She was previously a production assistant for KCURâ

Pennsylvania Gov. Tom Corbett may have been watching fellow Republican Gov. John Kasich of Ohio who bypassed the Republican Legislature in his state this week to expand Medicaid.

As part of the Affordable Care Act, states have the option to make coverage available to low-income adults, with the federal government picking up the entire tab for the first three years.

Immediately after last week's election, Missouri Gov. Jay Nixon announced the state would not be setting up its own health insurance exchange. Next door in Kansas, Gov. Sam Brownback announced that Kansas will have no involvement in running a state exchange either. The moves open the door for increased federal involvement in health care in staunchly Republican territory.