What do you like doing in your spare time? ghetto tube The plan to use Medicaid funds to purchase private insuranceis modeled on similar proposals in Iowa and Arkansas, whereRepublican officials have also resisted efforts to expandMedicaid eligibility under Obama’s Affordable Care Act – betterknown as Obamacare. Pennsylvania’s plan, like those of the othertwo states, would require approval by the U.S. Department ofHealth and Human Services.