Former Health and Human Services Secretary Kathleen Sebelius isn’t mincing words when it comes to the political leaders who have refused to accept federal dollars to expand Medicaid in their states.

“It is morally repugnant and economically stupid policy for both Missouri and Kansas,” she told the Kansas City Star, referring to both states’ continued opposition to participating in one of the key parts of the Patient Protection and Affordable Care Act.

Kansas, where Sebelius was governor for six years before joining the Obama administration in 2009, fits the political profile of most other states that rejected the expansion. It has a conservative Republican governor and a GOP-controlled legislature.

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