Call it Medicaid reform, not Medicaid expansion.

That’s part of the Mississippi Hospital Association’s latest effort to get Republicans to accept federal money and provide health insurance to now-uninsured adults.

The association on Monday unveiled a plan it calls Mississippi Cares. The association says that by combining payments from beneficiaries and hospitals, Mississippi can avoid spending any of its own tax dollars to match federal money.

Jobless beneficiaries would have to enroll in training or volunteer work.

The plan would cover adults through a hospital-owned insurer, Mississippi True, not managed care companies.

Association CEO Tim Moore says he proposed a similar plan to Gov. Phil Bryant last year. Moore says the association wants to spark conversation in 2019’s elections.

But Republican gubernatorial front-runner Lt. Gov. Tate Reeves rejects any expansion.