I think when you're talking about marriage equality and race, people very quickly start to get into their political corners: their ideology comes to the forefront, and they get into this platform argument that they're used to making, which really doesn't have anything to do with the day-to-day basics of what is being talked about.
Medicaid covers vitally needed medical care for millions of people in New York. Compliance with billing requirements ensures the financial integrity of the Medicaid program.