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were these legitimate concerns well what uh secretary kenzler outlined was why he can't cut the medicaid budget he mentioned a couple things that the legislature has tied his hands with the reducing services and reducing reducing payments to providers so he's so those two things are still available for the legislature next year he is right that the federal government is making it extremely difficult to cut provider payments and when you cut provider payments you do limit access so that it makes medicaid an even worse program than it already is and the other side of it that the federal government the federal government ties our hands with is as he said that we cannot reduce eligibility from what it is now and so in 2014 when all of the health care law if it's still around kicks in medicaid is going to expand by as you said 30 to 50 percent we're going to add up to 700 000 more people onto our medicaid rules than are already there and a lot of them are peo

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