It looks like MA and other "do gooder" states might be handled fairly

[karynnj]

Obama, facing an electorate angry over side deals in the massive package, has told congressional leaders to remove them to make the proposal more salable to the public. One of those deals is a Senate provision to reimburse Massachusetts and Vermont for having already expanded Medicaid coverage to a broader base of low-income people.

But Senator John F. Kerry, a key Obama ally in the health care talks, said the White House has given him personal assurances that Massachusetts will not suffer in the final package.

“I’m confident we will resolve this issue in a way that is fair to all states, and Massachusetts will come out stronger than we are now,’’ Kerry said as he left a Democratic Senate caucus meeting on health care. One way, he said, would be to fix the Medicaid reimbursement formula so that all states are repaid up to a certain level, giving Massachusetts what it needs without appearing to single it out for special treatment.

“We will not be penalized for going above and beyond federal mandates, and believe me, we’ve sent the message loud and clear, and I’m confident it’s been received and understood at the highest levels,’’ Kerry said. “The White House and congressional leadership have assured us that Massachusetts will get the money we deserve.’’

http://www.boston.com/news/nation/articles/2010/03/12/bay_state_seeks_fair_shake_in_health_bill/
This solution makes sense. It was the original unfairness of starting where the states that the MA special deal fixed. It would make more sense to correct it for all the states. (This affects not just MA, but many blue states.)

Markey is also quoted in the article as saying the "do gooder" states were mentioned specifically in the hc meeting that was held.