LINCOLN, Neb. (AP) — The Nebraska Department of Health and Human Services is once again raising cost concerns about a proposal to insure thousands of low-income residents with Medicaid funding under the Affordable Care Act.

The department on Tuesday released a consultant’s report that predicts the state would pay $978 million over a 10-year period under the newest Medicaid bill. The federal government would pay an estimated $13.8 billion.

Supporters say covering the uninsured would help boost the state economy.

According to the report, the legislation would cover more than 74,000 uninsured, low-income residents; provide premium assistance to nearly 35,000 with employer-sponsored insurance; and offer traditional Medicaid coverage to more than 15,000 who are deemed medically frail.

Nebraska Medicaid Director Calder Lynch says he will testify against the bill during a legislative hearing Wednesday.