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Experts say all Texans are on the hook for Medicaid Houston Chronicle Copyright 2012 Houston Chronicle. All rights reserved. This material may not be published, broadcast, rewritten or redistributed. Updated 12:30 a.m., Monday, July 30, 2012 Gov. Rick Perry's announcement this month that Texas won't participate in the Affordable Care Act Medicaid expansion may have seemed to settle the issue, but instead it's launched a debate about whether expanded Medicaid or the status quo is the least costly path.