Florida’s Tea Party-backed Gov. Rick Scott announced that he will refuse to implement the Affordable Healthcare Act, despite President Barack Obama’s reelection. Refusing to set up a state exchange doesn’t necessarily matter that much, since the law empowers the federal government to set up an exchange for states that fail to do so on their own. But more than half the expanded coverage in the law is supposed to come from a federally-subsidized expansion of Medicaid. So if Scott refuses to permit his state’s Medicaid to be expanded despite the federal subsidy (the feds cover 100% of the cost of expansion through 2016, dropping to 90% by 2020 – not a big burden on the states), then the impact of the law is crippled.