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Virginia House, Senate approve budget with Medicaid expansion

Democratic Gov. Ralph Northam is expected to sign the budget in coming days

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RICHMOND, Va. – The Republican-controlled Virginia General Assembly has given final approval to a state budget expanding Medicaid coverage to the state's poor.

The House of Delegates voted Wednesday shortly after the state Senate voted in favor of expansion. Several Republicans in both chambers joined with Democrats to support Medicaid expansion after years of partisan battle on the issue.

The House had previously endorsed expansion, while the Senate had held out in opposition until Wednesday.

Democratic Gov. Ralph Northam is expected to sign the budget in coming days. Expanding Medicaid was a key provision of then-President Barack Obama's health care overhaul.

A tally from the Kaiser Family Foundation shows Virginia will become the 33rd state to approve Medicaid expansion.

Former Virginia governor, now U.S. Sen. Mark Warner released this statement after Wednesday's vote:

“I’m thrilled that the Virginia Senate has decided partisan politics should no longer stand in the way of thousands of Virginia families getting the healthcare they need. I look forward to the House of Delegates soon doing the same.  

“Governor Northam and supporters of Medicaid expansion should be proud of this bipartisan achievement, but the real winners here are the hardworking Virginians who will finally have healthcare for their families.” 


The Virginia Senate has voted to expand Medicaid, ending years of partisan gridlock on whether to widen coverage under the health care program for poor people.

The Senate on Wednesday approved a state budget that would expand Medicaid eligibility to about 400,000 low-income adults.

A tally from the Kaiser Family Foundation shows Virginia will become the 33rd state to approve Medicaid expansion. Expanding Medicaid was a key provision of the Affordable Care Act pushed by former President Barack Obama.

Virginia Democrats have pushed unsuccessfully for years to expand it. Several state Republicans dropped their opposition this year, saying Virginia would be better off with increased federal funding for the program.

The budget still needs final approval House and from Democratic Gov. Ralph Northam. That's expected to happen with little difficulty.


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