Dirago Health Plan
Schaaf, who handled the legislation in the House, then objected that his House colleagues would defeat the bill—for many reasons, usually financial. He argued—and Senate handlers agreed—that the language should authorize only two pilot projects, one urban and one rural, that were contained in the final legislation.
But Blunt set aside the notion of the pilot programs in favor of statewide access when he announced Insure Missouri in mid-September. Deborah Scott, director of the Missouri Department of Social Services, said the staff there decided to use wording in the state appropriations bill last year—rather than the regular Medicaid law—to authorize Insure Missouri because it had broader terms. That bill, however, expires in June, and anything that Blunt has proposed must be approved again this spring.
Although longstanding precedents disallow the use of funding bills to authorize ongoing programs— not to mention
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