Discuss your opinions regarding each state being able to choose how they administer the medicaid program for their state. does this leave some americans at a disadvantage? why/why not?

Yes, it would leave some americans at disadvantage.

If states could have their own right in administering Medicaid program, States where many corporations resides tend to allocate very little budget to the program since they tend to have lower taxation rates which make them favorable locations to establish a company.