While record numbers of Americans sign up for the larger Medicaid health insurance program for the poor, financial issues are emerging for medical care providers in the two dozen states that didn't go along with the expansion under the Affordable Care Act. Reports out in the last week indicate the gap between those with health care coverage is widening between states that agreed to go along with the health law's Medicaid expansion and those generally led by Republican legislatures and GOP governors that are balking at the expansion.