Returning to the video, Dr. Ho points out that Texans are not paying less in federal taxes as a result of turning down Medicaid expansion. According to her argument, where are those tax dollars going?" "Returning to the video, Dr. Ho points out that Texans are not paying less in federal taxes as a result of turning down Medicaid expansion. According to her argument, where are those tax dollars going?" paying for expansion in other states that have accepted the terms of the federal program being used instead to fund critical transportation infrastructure improvements held in reserve by the State of Texas