A new fiscal analysis projects federal health care reform could cost Nebraska up to $766 million over the next 10 years, largely due to its expansion of the Medicaid program.

“The results of this analysis are staggering,” Republican Gov. Dave Heineman said in a statement. “This unfunded and unparalleled expansion of Medicaid is an unfair and unsustainable mandate on Nebraska and other states. This analysis confirms that the federal health care law is an extraordinarily large and excessive unfunded mandate for states. It is potentially devastating to our state budget.”

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