Why has it taken the DHSS about a year to implement the Medicaid Reform bill (SB74) which was touted to save tens of millions of dollars? Actually, Medicaid costs have gone up to even require a supplemental legislation to cover these costs. One big problem with Medicaid Expansion--it provides free health care to single persons who can work but refuse to. This is a disincentive to work or work a minimum number of hours. Bad policy. Medicaid Expansion also crowds out those blind, severely disabled, single parents, low income seniors who are on the original Medicaid program and who need the health care program. It is not fair. It was a deal cut with Val Davidson so IHS would be fully funded using Medicaid dollars to fill their budget gap. Not fair.