Well, that is just in Maine for now. Supposedly Medicaid rate are to be brought to Medicare rates nationally in 2013. In many cases this does amount to huge increases. Illinois, as usual, has been silent about it, but the state is practically bankrupt (2 of our last 4 governors are in jail) so even with the 60/40 federal state split, more money is a bigger budget. If it became retroactive I would shout for joy.