Up until right about now:
"We're trending in a direction where we should consider potential expansion. ...I would encourage the state legislature and the governor to consider it."
Under the ACA, the federal governemnt would have covered the cost of expanding (Medicaid) to 500,000 North Carolinians for three years and paid 90 percent after that. Now, hospitals are forced to treat many uninsured patients for free, which in turn raises prices for paying patients.
So next time you see a pro-Tillis ad blasting Hagan for voting for Obamacare, you should get a good chuckle.