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Maine's "Dirigo" health care reform is appropriately named, after the state's motto meaning "I Lead." "We built our reform on a Medicaid base and made modest expansions to Medicaid, covering parents to 200% FPL," says Trish Riley, director of the Governor's Office of Health Policy and Finance in Augusta.

Fiscal Fitness: How States Cope: Maine eliminates 'cliff' of falling off Medicaid with Dirigo health care program