Alabama's chief public health official said Medicaid will be in deep trouble if voters do not approve a Sept. 18 referendum to take more than $437 million from a state trust fund and use it to prevent huge cuts in spending on state programs for three years.
The constitutional amendment, if approved by voters, would take $145.8 million a year for three years out of the Alabama Trust Fund to help balance the budget during a time when tax collections are expected to see little growth.
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