A Direct Tax is to be apportioned among the States according to their population. If the "Robert's Rules of Taxes" now permits a conditional provision, being insured vs. no insurance; then I would hope we can return to how our Republic was supposed to work, meaning your State is to take care of these matters.
So let us bring it on: End the Federal Medicaid mandate, End Medicare and move health insurance out of employment. Let the States solve the problem or collect the "Roberts Tax".
The Federal Government's proper role in this would be to see that a resident of say, West Virginia does not end up in a say, Alabama hospital without sufficient pay schedules to cover regular and customary charges.