Just this past Wednesday, Florida Governor Rick Scott announced that he would finally accept the expansion of Medicaid under the Affordable Care Act. This choice “leaves Texas as the last big-state holdout” as a result of Texas Governor Rick Perry’s strong opposition against cooperation for expansion. However, since Florida was granted permission to run its program differently, State Representative Garnet Coleman (D-Houston) has been working with House colleagues to come up with a compromise that both Texans and the federal government could agree on. Expansion in Texas could provide benefits and services to millions of uninsured Texans, including those with mental illnesses. Hopefully a sensible solution on Medicaid expansion can be reached soon in Texas.