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JEFFERSON CITY, Mo. (AP) - A Republican alternative outlined in Missouri to President Barack Obama's Medicaid expansion would offer cash incentives to patients who hold down their health care costs.

Legislation to be filed Tuesday by Rep. Jay Barnes would stop short of Obama's call to expand Medicaid coverage to adults earning up to 138 percent of the federal poverty level, or $32,500 for a family of four. But it would add some adults to the Medicaid rolls while also removing some children whose parents earn up to three times the poverty level.

Private insurers would bid to offer managed care plans, and patients could get cash for avoiding costly medical care.

House Speaker Tim Jones says Barnes' plan is a "commonsense conservative" proposal. But he says it could be at least a two-year project.

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