let's go to charlene frizzera.ester with the affordable care as does to medicaid budget take us through what the affordable care at the estimate -- take us through what the affordable care at dusting medicaid. host: -- guest: there is a federal poverty the man now. the cover people to a certain level. this expands debt and requires that states cover more people under the medicaid program than they currently have to cover. host: if you would like to call about this issue, here are the numbers. host: marilyn werber serafini, tell us what is at issue here today, what are the states concerned about? guest: it is all about money. the health care law is estimated to cover 16 million new people, people that did not before qualify for medicaid. that costs money. now, what is interesting is at the beginning, the first two years of the health care law, starting in 2014, the federal government picks up 100% of the cost, but after those two years they cover less, and by 2020 the federal government is still covering 90% of the

. >> charlene frizzera,tem wh do, they deal with case loads if this law is upheld and more people go on medicaid and need to seek their s e health reform is to change the current health care delivery system. everybody agrees the current system where you get paid more for doing more services doesn't work. the way the primary care physicians are not entering the field, so everybody really does acknowledge that there is some cry sus in the health care system. the goal here is really to redesign the health care system so it's to find different ways to deliver health care using other kinds of practitioners so there's a lot of effort to have nurse practitioners do a lot of the care for patients. there's also a goal to try to change delivery so that you have a continuum of care organization instead of dealing with one part of your care. >> and what charlene is saying is really important about certain -- underserved areas, to meet the new demand. we saw this in massachusetts when they put their across the board health care, everybody have insurance in place. and there's a lot of concern that