There are no cuts to Medicaid.  The feds will spend more money on Medicaid every year.  The thing that changes is the rate of increase - from an unsustainable rate to one slightly less.  

Medicaid expansion was a baited hook to entice non-Medicaid eligible people to join O'BamaCare.  Parnell didn't play.  Walker did.  You can't invite an additional 60,000 Alaskans into a system careening into bankruptcy and expect that system to continue to work well.  

If congress does this right, they will block grant Medicaid (and Medicare) money to the states and allow the states to write the rules on how those moneys are spent.  Savings comes via not supporting the federal Medicaid bureaucracy.  It is a lot easier to grab hold of a State of Alaska person than a fed.  Cheers -