Former Health and Human Services Secretary Kathleen Sebelius isn’tmincing words when it comes to the political leaders who haverefused to accept federal dollars to expand Medicaid in theirstates.

“It is morally repugnant and economically stupid policy for bothMissouri and Kansas,” she told the Kansas City Star, referring toboth states’ continued opposition to participating in one of thekey parts of the Patient Protection and Affordable CareAct.

Kansas, where Sebelius was governor for six yearsbefore joining the Obama administration in 2009, fits the politicalprofile of most other states that rejected the expansion. It has aconservative Republican governor and a GOP-controlledlegislature.

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