In a speech to the National Association of Medicaid Directors (NAMD), HHS Secretary Sylvia Burwell called Medicaid expansion one of her "top priorities" and asked any governors elected during the mid-terms to reach out if they are interested in discussing their options. "We're eager and willing to work with states that have yet to expand," Burwell told the NAMD conference. Democrats running in five competitive races have promised to expand Medicaid under the ACA. If those candidates win in Florida, Maine, Kansas, Wisconsin and Georgia, the program could see 1.7 million more beneficiaries once they take office. Twenty-seven states and the District of Columbia have already accepted the expansion, but federal health officials say they won't stop until eligibility is widened in every state.