It will empower them to complain even more though, "look what the feds are doing in our state!" and "why cant we control it" when it reality they had the chance to and refused.
Here in TN, the governor is floating a plan/request to Washington to still get the Medicaid money but instead of expanding Medicaid, use it to subsidize private plans. Interesting but from what I read about it essentially funneling tax payer money to private industries without the same levels of benefits being provided.
That sounds like exactly what Paul Ryan and the GOP are trying to do to Medicare (because it is).
The entire reason why Medicare was created in the first place is because the employer-based health insurance model left retirees out of the system, forced to purchase their own individual coverage. Because of their age and medical problems, though, they could not afford these plans, and 1/3rd of senior citizens died in poverty because of their medical bills, and 51% died without insurance prior to medicare being enacted.
Similarly, medicaid is in place to assist low-income families, children, pregnant women, disabled persons, and seniors. These are also people who the employer-based model failed and who can not afford individual plans.
So what the GOP is essentially doing is turn medicare and medicaid into functioning in the exact broken way that they were created for the purpose of eliminating.
It's not "interesting." It's destructive social and economic policy that reduces the standard quality of life in America.