Print this article The newly enacted $1.9 trillion spending bill includes additional funding of as much as $22.5 billion for states that have not yet expanded their Medicaid programs under Obamacare. Red states that have long resisted the expansion of the low-income government healthcare program will now find it hard to turn down the money. Indeed, the state of Wyoming has taken a small, although possibly inadvertent, step toward expansion. Medicaid is funded by both state and federal dollars. The federal government matches what states spend on the program under what is known as the Federal Medical Assistance Percentage. FMAP is determined by a state’s per capita income so that poorer states tend to receive larger FMAPs. For example, Mississippi, the poorest state in the country, receives an FMAP of 84%.