To expand Medicaid eligibility to families and childless adults up to 138 percent of the federal poverty level, which implements a key component of the federal health care law (aka “Obamacare”). Under that law, the feds are supposed to pay 100 percent of the expansion’s cost during the first three years, with the state responsible for not more than 10 percent of the costs starting in 2020. This does not contain a provision in the original version of the bill requiring the federal government to approve certain cost-saving state Medicaid reforms before the expansion could proceed, and would also require far less rigorous reforms.