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Columbia Missourian

Missouri senators vote down federal Medicaid expansion

By The Associated Press
April 23, 2013 | 8:31 a.m. CDT

JEFFERSON CITY — Republican senators have made it clear that there will be no Medicaid expansion in Missouri this session.

The Republican-led Senate voted down a Democratic attempt Monday night to insert $890 million of federal funds into Missouri's budget to expand Medicaid eligibility to an estimated 260,000 lower-income adults.

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The vote was just the latest in a series of similar defeats in the Missouri legislature for the Medicaid expansion backed by Democratic Gov. Jay Nixon and called for under the Affordable Care Act.

But this vote carried a bit more weight. That's because it ensured that neither the Senate nor the House version of the budget includes the Medicaid expansion. Under legislative rules, negotiators cannot insert money into the final budget that wasn't in either chamber's plan.