(AP) – Kansas Gov. Sam Brownback is proposing reorganizing several agencies that handle Medicaid clients to curb the state’s health care costs.

Changes announced Tuesday by Brownback and his Cabinet include contracting with a private firm to manage care for some Medicaid recipients.

The new system will be called KanCare. It will be created primarily through executive orders signed by Brownback. Kansas will be able to make the changes without federal approval, though a waiver will be sought for expansion of certain parts of the program in the future.

Medicaid is the state’s health care program for disabled, elderly and low-income residents. It’s one of the largest and fastest-growing expenditures in state government, accounting for nearly $2.8 billion in overall spending.