Local officials in Texas are discussing whether to band together to expand Medicaid coverage in some of the state’s biggest counties, making an end run around Governor Rick Perry’s opposition to the expanded program included in President Obama’s health-care law. Texas’s six most populous counties offer free or low-cost health care for uninsured residents at a cost of about $2 billion a year. If some of the patients were enrolled in Medicaid, it could be a boon for local taxpayers.
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