Lawmakers in Pennsylvania on Wednesday gave final approval to budget-related legislation that boosts Medicaid subsidies for hospitals and ambulance services. The bill passed the House 199-4 and heads to Gov. Josh Shapiro's desk. It passed the Senate unanimously Tuesday, as partisans have clashed over some remaining elements of the state's $45 billion budget plan since July. Under the bill, lawmakers reauthorized an assessment on hospitals that's expected to draw down roughly $1.4 billion in matching federal Medicaid dollars this year.