Majority Republicans in the Michigan House are backing an expansion of Medicaid eligibility to more low-income residents, but only if major changes are made to the government health insurance program.
A plan unveiled Thursday limits "abled-bodied" adults to being covered for 4 years. That's believed to the first such proposal in the country.
Other features include health savings accounts for Medicaid recipients and ensuring they spend no more than 5 percent of their income for insurance. Lawmakers would revisit the expansion when the U.S. stops covering the entire cost.
House Speaker Jase Bolger says the plan incorporates ideas from Arkansas and Indiana. Michigan needs a federal waiver before proceeding.
Republican Gov. Rick Snyder wants to add 320,000 people to Medicaid. But GOP lawmakers have resisted unless underlying changes are made.