Months before Arkansas lawmakers convened for their 2013 legislative session, the thought that the state would expand Medicaid was almost laughable. Republicans had just won a majority in both chambers of the Legislature, with many candidates winning what had once been localized races by running against President Barack Obama and his signature healthcare law.  The […]

Missouri’s Medicaid program is heading into its hardest budget years in at least a decade. A federal law passed by Congress last year, the One Big Beautiful Bill Act, threatens more than $1 billion in penalties unless the state lowers its error rate below 3% starting in October 2029. It also imposes new mandates on […]