In recent years, state lawmakers have experienced pressure to expand Medicaid under the Affordable Care Act (ACA), however they have yet to do so. Expansion would add an estimated 1.5 million Texans to the program, extending eligibility to non-disabled adults, both with and without dependents. The groups pushing for expansion hope to pull down billions in federal funding, which would reimburse the state at 100% of the cost of coverage for the expansion population until 2017, then gradually reduce the rate to 90% by 2020.