CHATTANOOGA, Tenn. (AP/WMOT) — The head of the Tennessee Hospital Association says the entire state will suffer if TennCare isn’t expanded under the new federal health care law.

The U.S. Supreme Court recently upheld most of the Affordable Care Act, but justices struck down a mandate for states to expand their Medicaid programs.

Tennessee Hospital Association President Craig Becker says the state’s hospitals are already spending $1.2 billion dollars a year treating patients who can’t pay, and those costs are spiraling out of control.