Politico reports that West Virginia Gov. Earl Ray Tomblin is the nation's only Democratic governor who has not supported the Medicaid expansion that's part of the new health care law.
At least not yet.
Each state must decide whether to join or opt out of the expansion of the health care program for the poor to include people making up to 133 percent of the poverty level. All but a half dozen states have decided, or are leaning one way or another.
Tomblin, however, remains non-committal even as his fellow governors choose sides, often along party lines.
"While seven Republican governors have so far bucked their party to back expansion, Tomblin has held firm," write Kyle Cheney and Jason Millman in Politico. "Not just firm, but silent."
Some governors are finding it hard to resist the money.
After all, the federal government will initially pay for all new Medicaid enrollees.
However, other governors worry that when Washington begins scaling back its share - it drops to 90 percent in 2020 - it will strain their state budgets.
Tomblin is clearly wary of the Medicaid expansion, and for good reason.
This fiscal year, West Virginia will spend $857 million in state dollars - and $2.2 billion in federal money - to provide Medicaid coverage to about 415,000 West Virginians.
Next year, the state share will rise to close to $900 million and continue to increase in subsequent years, even before expansion.