Senate Republican leaders are discussing a proposal to expand an enhanced Federal Medical Assistance Percentage (FMAP) matching rate to five states, including Alaska and Hawaii, to get the parliamentarian to sign off the proposal, which could be critical to locking down Sen. Lisa Murkowski’s (R-Alaska) vote.

GOP negotiators are floating a plan to expand the enhanced FMAP rate to North Dakota, South Dakota and Wyoming — in addition to Hawaii and Alaska — and recalculating the formula for higher federal assistance so that it is based on........

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