This means the state would receive a fixed amount of federal money instead of the open-ended commitment under the current approach. It would limit the amount of Medicaid funds coming to Alaska, but allow the state more flexibility in how it operates the program.
The vote brings the House budget back into agreement with Gov. Mike Dunleavy on the issue. If the amendment makes it into the final budget, it would shift roughly $100 million in spending from the state to municipalities.