Republicans say they've already tackled some of the most pressing Medicaid issues but Governor Quinn seems to be going in a different direction. 

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Governor Quinn wants to add 100-thousand people to the Medicaid program but State Senator Dale Righter says that could be big trouble for program recipients.

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Righter says it costs the state 25-hundred dollars per adult, per year.  Add 100-thousand more people and you boost the state's liability by about 150-million dollars.  Righter is urging Governor Quinn to stop expanding the program and submit waivers to the federal government so the reforms they already passed can be implemented.