"What they're saying is: Their state governments would decide that it's not worth it to us to have these people on Medicaid when we can buy it at 43 cents on the dollar," Toomey said in an interview. "That's a decision that they're free to make, but to suggest that the federal government is being unreasonable when we're offering to pay more than half of the cost of an expansion that we didn't support in the first place, I'm sorry, I just disagree."