Final answer:
States that choose not to expand Medicaid are not spending additional dollars but may miss out on several benefits such as federal funds, increased healthcare coverage, and economic stimulation.
Step-by-step explanation:
By not expanding Medicaid, states are choosing to not spend additional dollars but are also potentially missing out on several benefits. Medicaid expansion allows states to avail themselves of federal funds and provide healthcare coverage to a larger portion of their population, including low-income individuals who may not have access to affordable healthcare otherwise. It can also have economic benefits by stimulating the healthcare industry and creating jobs in the state.