Jon Stewart on Thursday blasted Republican governors and lawmakers who reject expanding Medicaid in their states, singling out the most egregious offenders as “moochers.”

Stewart added “total dickishness” to the list of obstacles facing the implementation of Obamacare, citing the 26 Republican-controlled states that declined federal dollars to expand Medicaid out of “spite.”

“All but three of those 26 states they represent already take more money from the federal government than they contribute in tax dollars. They are already burdens on the systems,” he later added. “I believe they are referred to by those Republicans as moochers. Moocher states. And if statehood was health care, Mississippi and Missouri would be rejected as having that as a pre-existing condition.”

Correction: This post has been updated to reflect that Stewart addressed states refusing to expand Medicaid, not Medicare.