The state Senate Health and Welfare Committee advanced a measure this week that could lead to Louisiana expanding Medicaid in some form under the ACA. House Concurrent Resolution 75 is now headed to the Senate floor with bipartisan support. HCR75 would allow Louisiana hospitals to assess fees on themselves to attract more federal dollars to pay for uncompensated care of uninsured patients. However, the money is only available if the state agrees to change Medicaid income qualifications to sign up uninsured people who make too much to get the government coverage but too little to buy adequate insurance on the private market. An estimated 240,000 additional Louisiana residents would be eligible. Bobby Jindal will not be able to veto a the resolution, which essentially bypasses the current administration and gives the incoming one a chance to move forward on non-specified expansion with legislative pre-approval. If enacted, expansion will save between $100 million and $200 million in future budgets. Expansion of federal programs at the state level under the ACA could foreseeably reduce the number of claimants seeking care for non-work injuries under workers’ comp as a substitute for private health insurance.