This is why many economists (like me) have always been highly leery of fiscal policy from the spending side. It winds up as a political circus in what is done with the money. And if I am not mistaken, those states that took stimulus money are now bound to NOT reduce Medicaid eligibility requirements and expenditures back to 2008 levels once the stimulus money runs out, which of course is now. In other words, Medicaid dollars must continue to be spent at Stimulus program levels even when the funding from the stimulus dries up. Good luck friend!