They complained that an earlier, similar draft "does not provide stability and certainty for individuals and families in Medicaid expansion programs." Signing were Sens. Rob Portman of Ohio, Shelley Moore Capito of West Virginia, Cory Gardner of Colorado and Alaska's Lisa Murkowski. Thirty-one states and the District of Columbia expanded Medicaid coverage to 11 million people and accepted beefed-up federal spending for the program. Around half those states have GOP governors, who are largely reluctant to see that spending curtailed.