The 22 states that didn't ease Medicaid eligibility under Obamacare cover a much smaller percentage of their low-income residents than other states do and have seen their costs rise more.
In October 2013, open enrollment begins, when people can start signing up for their 2014 coverage through the new state-run health exchanges. But most of the changes in 2013 are tax increases and cuts in tax deductions to pay for the 2014 changes.