Douglas Gravagna who suffers from viral cardiomyopathy poses for a portrait in Phoenix, Arizona March 5, 2011. Gravagna, 44, has a 6 percent function to his heart, which is kept beating by a pacemaker and a defibrilator. He applied for state Medicaid for a needed transplant, but got a denial letter last October saying that he did not meet the criteria for a transplant under a new state bill. The measure enacted by Arizona Republican Governor Jan Brewer seeks to trim Medicaid spending in the desert state, which projects a 2011 budget deficit of $763.6 million and a full-year 2012 budget deficit of $1.15 billion, and has denied potentially lifesaving transplants to nearly 100 people like Gravagna, two of whom have since died. REUTERS/Joshua Lott (UNITED STATES - Tags: HEALTH POLITICS BUSINESS)