&gt; If the governors can find a way to refuse health insurance to millions of their residents to spite the feds, they can certainly &quot;refuse&quot; refugees by some method, if only holding it up in courts for a year or two.<p>Well, holding it up in courts has them losing until a decision is made, since they don&#x27;t have actual physical control of immigration (this is sort of the opposite of the case with Medicaid expansion, where they had to <i>actively</i> do something to achieve it, and so, even if the cases challenging it hadn&#x27;t been decided before the mandate went into effect, they could have effectively stalled it until the a decision.)