Wisconsin Gov. Scott Walker speaks to reporters Wednesday, Oct. 2, 2013, at World Dairy Expo in Madison, Wis. Walker says no decision has been reached yet on whether the state will shift state employees from health maintenance organizations to a state self-insured program. (AP Photo/Scott Bauer)

Photo by: Scott Bauer

Wisconsin Gov. Scott Walker speaks to reporters Wednesday, Oct. 2, 2013, at World Dairy Expo in Madison, Wis. Walker says no decision has been reached yet on whether the state will shift state employees from health maintenance organizations to a state self-insured program. (AP Photo/Scott Bauer)