Continued from page 1

Diane Rowland, executive vice president for the Kaiser Foundation, said states would be ill-advised to use the sequester as a factor in deciding whether or not to accept the federal Medicaid dollars, even if it is tempting to see it as an antidote to the across-the-board cuts on the nation’s balance sheet.

“It’s not an offset unless Congress decides to budget that way,” she said.

The expansion has a direct benefit to personal and fiscal health that could outperform the positive impacts of various programs subject to the sequester, Ms. Rowland said.

“It’s about covering people,” she said. “These dollars supplement providers and filter back into the economy.”