The Michigan Legislature's approval of a change in how health insurers are taxed to help fund Medicaid sets up a showdown with Gov. Rick Snyder.
The Republican-led Senate voted overwhelmingly Thursday to continue a tax on Medicaid managed care organizations, shift funding around and more quickly end a tax on health insurance claims.
It's the latest in Michigan's long-running attempts to not run afoul of the federal government, which has indicated the Medicaid managed care tax should expire.
The legislation is headed to Snyder.