there are 60 million americans who are covered by their state. now with the passing of the ACA, medicaid programs are going to pick up. 30 million americans are about to get health coverage, from which 17 million are of medicaid low income patients. as eligibility is raised from 100% of the poverty line to 133%, states wil be paying for coverage via federal funding from 2012-2014, from that date onward the states will start contributing to the cost, as fed share will not be lower than 90%. this pretty much means that medicaid will be become bigger and better and certainly more important.