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Spending Bill For Medicaid Expansion Raises Questions About Intent


House Communication
House Speaker Rob Vescovo, R-Arnold, speaks with House Budget Chairman Cody Smith, R-Carthage, during the Nov. 10, 2020 special session.
The $1.6 billion cost of expanding Medicaid to approximately 275,000 uninsured Missourians has been segregated from other spending in the upcoming budget year by moving it into a separate appropriation bill.
The move has Democrats wondering if House Republicans are looking for a way to avoid funding the new health care program and a leading Senate Republican suggesting it may be a path to renewing legal challenges to expansion.
Instead of adding expenses for the newly eligible to individual spending lines in appropriation bills for mental health, senior care, hospitalizations and other services, the bill filed by House Budget Committee Chairman Cody Smith, R-Carthage, would pay for all care needed by the expansion clients. ....

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