A new report says Missouri's Medicaid costs could rise by 6.6 percent over 10 years if the state fully implements the federal health care law.
But the report also says almost half of that increase will occur even if Missouri does not expand Medicaid eligibility for adults.
The report by the Kaiser Family Foundation and Urban Institute says Missouri can expect to spend an additional $1.2 billion from 2013 to 2022 as more people join the Medicaid rolls because of the federal health care law.
Amanda Vinicky contributed reporting from Springfield, Ill.
In what's being called an "unprecedented" step, Illinois Gov. Pat Quinn has terminated the state's contract with its largest employee union.
The American Federation of State, County and Municipal Employees helped Quinn win the governor's office in 2010, but the relationship soured almost immediately. The governor, a Democrat, has tried to close state facilities, lay off workers, rescind guaranteed salary hikes and reduce the pensions of state employees, all in an effort to cut costs.