Iowa's governor wants to revamp Iowa-care rather than buy into an expanded version of Medicaid.
Governor Terry Branstad unveiled the proposal this week.
He's calling it Healthy Iowa.
The program would be state and federally funded and provide limited benefits to about 70,000 low-income adults. "This fits in very well with our goal to be the healthiest state in the country. We know we have to live with the Affordable Care Act. We want to make the healthiest choice for Iowa under the limitations that we have in that law."
Branstad says healthy Iowa will cost $23 million more than the medicaid expansion, but would better shield Iowa from federal fiscal changes.
Democrats say the plan provides fewer benefits than Medicaid at a higher price.