alan weil the states that are in the middle. it is clear those that have not expanded yet what to make medicaid expansion in their own. can you talk about what we see from states that want to expand or another waiver program that requires approval from the federal government? >> there are states that are not just ideologically opposed but our concern to figure out of way that will work for them. go back to the beginning when the supreme court decision went down they said can we do a partial expansion less than 133 percent can we change our mind we got the answers fairly quickly you cannot do a partial but u.k. and change your mind to that led to the first year at the state level if they were in or out. there was a substantive than the political component to where they are. now we've moved past the first few questions you already talked about the private option. it changed the terms of the discussion about expansion. at a substantive level arkansas was looking to do the expansion they wanted it through private health plans. for t

and our final panelist is alan weil, executive director of the national academy for state health policy which most of you know as nashp, an independent academy of state health policymakers, and it provides a forum for work across branches and agencies of state goth on critical health care -- government on critical health care issues and that includes, obviously, work on medicaid expansion. alan writes and speaks extensively on health care issues, he's on the editorial board of health affairs and is a member of the institute of medicine's board of health care services among many other positions. and his role gives him an opportunity to work with states across the spectrum so he can speak from hearing from a lot of different medicaid directors and states that are in very different places in the medicaid expansion. so i want to thank our guests for joining us and start off by asking each of them some broad questions to get a seasons of where different state -- a sense of where different states are. so first, mary ann, a couple of questions about washington state. can you give me, first, a