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“As such, I am forced to accept it as today’s reality and I have decided to expand Nevada’s Medicaid coverage.“My fiscal year 2014-2015 budget will provide 78,000 additional Nevadans with health insurance coverage through Medicaid, which is estimated to save the state general fund approximately million dollars in mental health savings,” Sandoval said.

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Willden said there are also administrative costs to the state that are not fully covered by the expansion but instead are shared between the federal government and the state at a 50-50 match.

They include information technology costs and the cost to hire new eligibility workers, for example, he said.

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With the low state match over this period, that’s a solid return on investment.” All three Republican Senate leaders said they look forward to working with their colleagues during the 2013 session to approve this expansion, but also believe it’s imperative that Nevada protect its economic future and require a sunset on the expansion should federal reimbursement rates drop below 90 percent for this population.

In addition, Republican Senate leadership supports the governor’s proposal to include a cost-sharing component in Medicaid and plans to pursue that initiative during the 2013 Legislative Session.

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