Yup. More generally, you don't see deep red states looking towards the richer coastal states as models for public education, labor laws, etc. The people being affected by poor state-level implementation are poor folks and those in the market for individual insurance, as far as I can tell, and those aren't terribly influential groups.
Also think you're right about eventual Medicaid expansion. As it becomes less tied with Obama in the public mind, it'll become more of a clear political winner for governors and state legislators. "I helped tens of thousands of our state's citizens get the medical coverage they need, all while maintaining a balanced budget" etc.