Virginia is putting together a plan for Medicaid expansion that reduces one of the Republican overt complaints. The plan last year that lost in the Legislature had no dedicated funding stream. This year it is different (via the Washington Post) :
Virginia’s hospitals reversed their position this week on a controversial bed tax, potentially giving Gov. Terry McAuliffe (D) a path to the top priority of his administration: Medicaid expansion.
Members of the Virginia Hospital and Healthcare Association have traditionally resisted efforts to pay additional fees, but a tax on beds — also known as a provider assessment — would draw down a federal match. Together, the money could be used to expand Medicaid under the Affordable Care Act and without state funding.
This is necessary but most likely insufficient for Expansion.