Medicaid expansion dispute keeps Va. lawmakers from reaching budget deal

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That could require reintroduction of budgets, which would again test whether a minority of House Republicans would join Democrats in support of Medicaid expansion House Republicans had staunchly resisted Medicaid expansion for four years before the November election almost cost them control of the body.

The Trump administration earlier this week approved Arkansas' request to require thousands on the expansion to work or volunteer.

More than 285,000 people are on Arkansas' hybrid program, which was created as an alternative to expanding traditional Medicaid under the federal health law. In the House, it passed without any debate. Arkansas is the third state allowed to impose a work requirement on Medicaid.

"It just reflects the fact that when people listen and they work for a good end result, we can get the job done", Hutchinson told reporters after the vote.

Legislators needed to have all budget work done Tuesday in order to vote on it by Friday.

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"They've used every tool that I have ever seen used in this building to try to whip the votes for this (school-safety) bill", Lee said. Alan Clark said after the vote.

"Medicaid is still on an unsustainable path", said Republican Sen.

A new rule coming later this year adds a work requirement for many people who receive their health coverage through this plan. This year, the change will affect about 39,000 people from 30 to 49 years old, and over 30,000 more next year when it's rolled out for people ages 19 to 29, according to the state Department of Human Services.

General Assembly budget negotiators have broken off talks aiming to reconcile radically different House of Delegates and state Senate budgets.

Senate Appropriations Chairman Rob Bradley, R-Fleming Island, said the last major issue settled was a deal securing $40 million in state funds, which can be matched with $60 million in federal funding, for nursing homes.

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