Arizona hospitals will pay more under Gov. Doug Ducey’s $10.1 billion spending plan.

The fiscal year 2016 budget may only the beginning of a year of bad news for Arizona hospitals, which could face a doomsday scenario depending on the outcome of two big lawsuits.

The last time the U.S. Supreme Court gave states an option of whether to comply with a key provision of the Affordable Care Act, Arizona embraced Medicaid expansion, despite then-Gov. Jan Brewer’s stated opposition to the federal health care law.

Gov. Jan Brewer sighed deeply as she prepared to address the Court of Appeals ruling that injected new life into legal challenge against her prized Medicaid expansion plan.

The biggest beneficiaries so far of Gov. Jan Brewer’s Medicaid expansion plan have been people who are qualified for AHCCCS but couldn’t enroll due to funding cuts made during Arizona’s massive budget crisis.

When Gov. Jan Brewer walked into the room for her Medicaid expansion signing ceremony, she was met by a standing ovation. After she signed the bill, she let out a sigh of relief.