In Virginia, Republican leaders in the House of Delegates are holding firm in their opposition to using federal Medicaid funds to provide health insurance to 400,000 low-income residents.
House Speaker Bill Howell says he's optimistic Democratic lawmakers will back down from their support of a proposed state budget that includes expanding Medicaid eligibility.
"Last fall, Virginia Democrats blasted Republicans for threatening a federal government shutdown and now they are using the same tactic in Richmond and don't see the hypocrisy," he says.
House Republicans are sending Democratic U.S. Senator Mark Warner a letter asking him to support their position, pointing out that the senator condemned Republicans last year for forcing a federal shutdown over a failed effort to defund the Affordable Care Act.
But state senator Donald McEachin says the letter is an election-year stunt.
"Maybe they need to go check their clerk's office, but we have passed a budget. There is a budget waiting for them to act on. It's Senate Bill 5003 if they need some help finding it," he says.
If both sides fail to reach a compromise before July 1, the government of Virginia could shut down for the first time in history.