[Listen to audio of LePage's speech]

Paul Lepage, the outspoken and sometimes controversial Republican governor of Maine, was the guest of honor at a Massachusetts GOP gathering this weekend. Maine's governor used the appearance to voice his support for a contentious proposal to change the federal Medicaid program — and told guests that ISIS, or the Islamic State, is operating, as one questioner put it, in "every state."

In a wide-ranging speech Sunday before the Massachusetts Republican Assembly, Maine governor Lepage said he wants to see GOP efforts to repeal and replace the Affordable Care Act include a work requirement for recipients of Medicaid, the federal program that provides health care to low-income Americans.