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After rejecting Medicaid expansion in each of the past three years, state lawmakers are being asked to reconsider the proposal once again. Wyoming Department of Health Director Tom Forslund briefed the Joint Appropriations Committee on Monday on the governor’s plan to use Medicaid expansion to cover rising costs in the Department of Health’s budget. Forslund said accepting the expansion would extend health coverage to an estimated 20,000 low-income adults -- a 14 percent increase from past projections -- and send $268.4 million in federal funds to the state over the next two years. (Brown, 12/15)

Gov. Dennis Daugaard said he knows he'll have a tough sell in convincing a majority Republican Legislature to approve Medicaid expansion. The Republican governor took his plan on the road Monday, meeting with legislators and business leaders in Sioux Falls. In an interview with Argus Leader Media, Daugaard said he's crafted a plan designed to defend it against those who don't think it's "conservative enough." (Ferguson, 12/14)

Gov. Bobby Jindal said his administration is willing to provide information to Gov.-elect John Bel Edwards on anything he might need, but Jindal won't actively ready the Louisiana Department of Health and Hospitals for Medicaid expansion -- one of Edwards' top priorities -- before the governor leaves office. ... Edwards has said he wants to implement Medicaid expansion as quickly as possible once he is sworn in on Jan. 11. The move could cause Louisiana's enrollment in the federal health care program to swell by as many as 500,000 additional people, according to state health officials. Legislators worry how the current Medicaid program would handle such a surge in participation. (O'Donoghue, 12/14)