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Governor Jay Nixon's plan to expand Medicaid in Missouri has encountered a new wrinkle of opposition from some lawmakers. Members of the Senate Appropriations Committee raised concerns Monday that the Medicaid expansion could hurt the state's credit rating.

Missouri currently enjoys a triple-A rating.

But Moody's Investors Service last week assigned a negative outlook to Missouri because of the proportion of the state budget that already comes from the federally and state-funded Medicaid program.

If Missouri expands Medicaid eligibility as called for in the federal Healthcare Reform Act, it would get billions of dollars more from the federal government in coming years.
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