DALLAS — Texas Gov. Rick Perry's rejection of Medicaid expansion for the working poor will cost state taxpayers $9.2 billion in 2022, according to a study by the Commonwealth Fund.

Twenty states, most with Republican governors, have refused funding for the expansion of the health insurance program, a loss equivalent to more than twice the amount of federal transportation funding in 2022, reported the fund, which describes itself as a private foundation supporting independent research on health policy reform.

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