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The federal government likely will have some changes to the state's small-scale Medicaid expansion plan, which currently is awaiting approval. And that means the state will not be able to begin enrolling individuals by Jan. 1, the originally projected start date, said Nate Checketts, the Utah Department of Health's deputy director. The plan, projected to cover 9,000 to 11,000 people, targets childless adults who are chronically homeless, involved in the justice system or in need of mental-health or substance-abuse treatment. (Stuckey, 11/16)

Adult enrollment in ObamaCare’s Medicaid expansion has more than doubled expectations in states across the country -- pointing to ballooning costs that threaten budget dollars for priorities like education and infrastructure, according to a report released Wednesday by The Foundation for Government Accountability. Newly obtained data from 24 of the 29 states with Medicaid expansions show at least 11.5 million able-bodied adults have enrolled. The FGA says adult enrollment for all these states exceeds projections, by an average of 110 percent. Some states have signed up more than four times as many adults as they expected would enroll. (Singman, 11/16)