Lori Latch, back row center, with her husband Chad, left rear, son Marcus, right rear, son Eric, front left, and daughter Ruby, front right, at their home in North Little Rock, Ark., Tuesday, Feb. 4, 2014. Lori Latch, 35, said she was looking forward to having health insurance for the first time since she was a teenager. She and her husband, who is self-employed, have racked up more than $5,000 in bills for emergency room visits. Arkansas’ plan for expanding Medicaid by buying private insurance policies for the poor instead of adding them to the rolls was heralded as a model for convincing more Republican-leaning states to adopt a key part of President Barack Obama’s health care overhaul. But less than a year after its approval, the program that has extended health insurance to 83,000 people is on the brink of being abandoned. (AP Photo/Brian Chilson) (AP Photo/Brian Chilson)