YNN’s Alana Rocha shares more reaction to the governor’s move Monday in the video report above.

Governor Perry says Texas won’t set up a state-run health insurance exchange or expand Medicaid in light of the U.S. Supreme Court’s decision upholding President Obama’s health care law. Perry sent a letter with his decision to U.S. Health and Human Services Secretary Kathleen Sebelius Monday.

"If anyone was in doubt, we in Texas have no intention to implement so-called state exchanges or to expand Medicaid under Obamacare,” Gov. Perry said in a statement. “I will not be party to socializing health care and bankrupting my state in direct contradiction to our Constitution and our founding principles of limited government."

"I stand proudly with the growing chorus of governors who reject the Obamacare power grab. Neither a ‘state’ exchange nor the expansion of Medicaid under this program would result in better ‘patient protection’ or in more ‘affordable care.’ They would only make Texas a mere appendage of the federal government when it comes to health care," Perry went on to say.

Dr. Sara Austin is among those Texas physicians who no longer accept Medicaid patients into their practice. The Austin neurologist cites reduced reimbursement rates from the government that she says no longer make it worth her while, business-wise.

“I think the state has a better chance of making a program that serves more people better than the federal government. We’re Texas. We know how Texas works, you know and what we need,” Dr. Austin said.

“There’s one in four Texans that don’t have health insurance. Texas has to do something about that, but I just don’t think Medicaid – or Medicaid the way it’s written, is not going to be the thing to do," Austin added.

Anne Dunkelberg, at the Center for Public Policy Priorities, says Perry’s decision was one the Legislature needs to make as a whole.

“We’ve had the worst uninsured rate in the country for close to 20 years now and what Texans really need is less politics around health care and real solutions,” Dunkelberg said.

Gov. Perry appeared on Fox News Channel Monday morning. During his interview, he compared expanding Medicaid to putting more people on the Titanic.

The Texas Democratic Party responded to Perry’s decision on Medicaid calling it "cruel" and "negligent."

"Rick Perry’s announcement is both cruel and negligent. No person with a speck of intelligence would turn down billions in federal dollars that would be a boon to our economy and help Texans. But then again this is Rick Perry. Rick Perry could’ve brought billions in federal dollars to Texas, reduced the rate of the uninsured and improved the quality of life for Texans. Rick Perry’s Texas solution is to let Texans stay ill and uninsured. That is not a health care plan. Once again Perry is putting partisan political pandering in front of the interests of Texas."

You can watch Gov. Perry’s interview on Fox News below.

You can read a copy of the letter to Sec. Sebelius below.