The legislative commission considering Medicaid expansion in Virginia is set to hold its final meeting of the year.          

The Medicaid Innovation and Reform Commission will meet Tuesday at the General Assembly Building in Richmond.          

The General Assembly established the commission last year. It was a compromise between Democrats who support expanding Medicaid to 400,000 low-income Virginians under the federal health care law and Republicans who oppose the idea because they worry about the long-term costs. The panel is tasked with ensuring that cost-saving reforms are achieved before Virginia considers expansion.          

Democratic Gov.-elect Terry McAuliffe supports expanding the federal-state entitlement program, which has grown rapidly in recent years and now accounts for one-fifth of the state budget.