Last month, Florida Gov. Rick Scott, the one-time foe of President Obama’s health care law, rocked the health care policy world by announcing plans to participate in the legislation’s expansion of Medicaid. At the time, I criticized Scott, while noting that the decision would ultimately be left in the hands of the state legislature. On Monday, the Florida Senate joined the state House in saying no to the expansion, effectively killing it.

The decision by the legislature, if final, would mean about 1 million fewer beneficiaries on the Medicaid rolls. As I previously wrote, ” After the Supreme Court decision, the Congressional Budget Office estimated that adding 11 million people to Medicaid would cost $643 billion over the next decade — meaning a back of the envelope estimate is that Scott’s decision could ultimately cost federal taxpayers about $58 billion over the next decade.” Now, that decision has been blocked.