A big deadline is looming today for state's like Alabama. Washington wants to know which states plan to create their own health insurance exchanges, as part of the Affordable Care Act. Each state that says “no” will leave that job up to the federal government. Today's deadline comes just days after the University of Alabama at Birmingham released a report related to the expansion of Medicaid under the act. The report says if Alabama opts into the Medicaid expansion, it could mean a billion dollars in new tax revenue for the state.