Apparently, any way. Eliot Spitzer had the woman who is administering the State of California's implementation of the ACA on his show a few weeks ago. At one point she said something interesting: Once a state accepts *any* money through the ACA, it cannot legally refuse the Medicaid expansion--or something similar to that effect.
That's likely a ball hidden in some deep weeds, but the below does seem to suggest that Texas will be getting the full monty version of the ACA.
R.
http://gg9-tto.blogspot.com/
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