•Recognizing the State’s GPR budget concerns, WAHSA, the Wisconsin Counties Association and the Wisconsin Health Care Association first suggested the expanded IGT option. These associations have signed an agreement to support the Governor’s IGT budget and pledge not to seek additional 2001-2003 Medicaid Trust funds beyond the levels recommended by the Governor. •IGT expansion can not occur without county participation. Any substantive modification or expansion of the IGT agreement reflected in the Governor's budget could be viewed by counties as reason to opt out of the IGT program and not transfer funds after the first year, effectively