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   Call it the tale of two hearings.  

   Missouri Senate and House committees each held hearings Wednesday on the state's Medicaid program.  Each focused on different perspectives.  

   At the House hearing in St. Louis, most testified in favor of expanding Medicaid under the federal Affordable Care Act.  But at the Senate hearing in Jefferson City, the stress was on the need to overhaul the system first -- by finding ways to reduce costs and improve care.  

   The St. Louis Post-Dispatch reports that Missouri's 8.5-billion dollar Medicaid program currently serves 875-thousand low-income seniors, people with disabilities, and families with children.  Expansion would add about 260-thousand low-income, working people.

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