The workgroup assembled by the governor in April to investigate the options reported its findings.
Emily Young listened intently as the next round in the Medicaid expansion debate unfolded at the Governor's Health Summit 2013.
For her it's personal, she lost her job in May, 2009. A few months later came the diagnosis that changed her life, breast cancer. Once her COBRA coverage expired in December of that year she had nothing.
"I applied with the same carrier on an individual plan with the same carrier and was denied, because of a now preexisting condition," said Young.
Today the cancer has spread to her lungs. Without insurance she relies on Hospice Care and her outlook is grim.
"It's end stage, it's terminal," said Young.
One solution could have been Medicaid expansion. It was part of the Affordable Care Act, but the Supreme Court decided that part is up to the states.
"It's like most things in life, finding the right balance. We want to help those in most need. I believe in a safety net responsibility of government to help out, but I also believe in personal responsibility, I also believe in being fiscally prudent," said Utah Governor, Gary Herbert.
That's why he commissioned a workgroup to look into the possibilities.
"So we can find what I call a Utah solution to the Utah needs we have here that are uniquely ours," said Herbert.
Five options were presented to the governor. One is a full Medicaid expansion lowering income requirements for individuals and families. Two are partial expansions with various subsidies and credits. The last two are global waiver and charity care options.
Panel member and Executive Director of Utah Health Policy Project, Matt Slonaker says the full Medicaid expansion would be the easiest transition.
"We've gotten indications from the federal government that that's really the only plan you can implement quickly with their approval," said Slonaker.
That's exactly what young is pushing for and for her it's a matter of life and death.
"A full expansion would definitely bring in the funding to help people who fall through the cracks like this. Who could get impatient services and care," said Young.
The governor says the right fit for Utah is probably a combination of the different options, but notes it’s possible there could be no expansion at all.
His goal is to have an agreement with the legislature before the next session starts.