FRANKFORT, Ky. (AP) — Democrats and Republicans in Kentucky's Legislature are primed for a lively debate on federal health care changes that could provide Medicaid benefits to some 400,000 additional Kentuckians and create an insurance exchange that would make it easier for people to find affordable private coverage.

House Speaker Greg Stumbo, D-Prestonsburg, said Wednesday that he will oppose legislation that could impede implementation of two key parts of the Affordable Care Act, the federal initiative that he touts as a way to improve the health of Kentucky residents.

"Not only is it a good benefit to the state, it's also something that morally we should do," he said. "I think once the facts are on the table that members will have a very difficult time voting against it."

Stumbo told reporters he believes the state "would be ill-served" not to take full advantage of the health care changes that would expand Medicaid coverage to additional uninsured residents.

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