There would be some cost increases if Kansas allows a federal expansion of Medicaid, as the state eventually would be responsible for 10 percent of the cost of expansion. But a new national report by the Robert Wood Johnson Foundation notes that expansion also saves money, in part because the federal government would pick up some costs currently paid by states. An expansion proposal by the Kansas Hospital Association is projected to save the state $151 million each year from 2017 through 2020. KHA also estimates that by not expanding Medicaid, Kansas has forfeited more than $1 billion in federal funds since Jan. 1, 2014. – Phillip Brownlee
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