The cost of Virginia’s Medicaid program will grow by $281 million in the current two-year budget, increasing the challenge for Gov. Terry McAuliffe in managing a projected $1.48 billion revenue shortfall.

It also will make it harder for the governor to persuade Republican legislators to accept billions of federal dollars to expand health coverage of uninsured Virginians.

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Virginia Medicaid costs to rise again as governor prepares new … –