Failing to insure so many people leaves a lot of unpaid medical bills in the state, and that drains the Texas hospital system. The conservative majority in the Texas legislature has been so opposed to the idea of Medicaid that they shortchange the state’s hospitals in compensating for the few (mostly pregnant women) Medicaid patients they see. Then, by rejecting Obamacare’s Medicaid expansion, they lose out on federal money that would insure about 1.5 million Texas citizens.