governor kansas thursday veto bill expand eligibility medicaid poor federal affordable care act aca measure fiscally responsible would still fund plan parenthood state lawmakers republican-controlled senate vote favor measure tuesday days president donald trump efforts repeal replace aca also know obamacare end bill pull vote republican governor sam brownback say bill also fail eliminate wait list disability service add work requirements budget neutral cost expand medicaid obamacare irresponsible unsustainable say add unwise undertake drastic change state medicaid program work aca overhaul underway washington support legislation continue fund organizations undermine culture life say refer group plan parenthood provide range reproductive service include abortions plan parenthood say statement overwhelm majority kansans support health care provider expansion medicaid state republican-controlled house pass bill last month 81-44 quickly take debate override brownback veto thursday vote postpone go put dagger right heart small communities republican representative leonard mastroni vote support expansion tell house topeka brownback veto house 84 lawmakers would need vote favor override advance fail obamacare replacement bill washington push house speaker paul ryan would end aca expansion medicaid federal state fund insurance program poor disable kansas among 31 state 2016 opt expand medicaid federal government foot much cost obamacare aca enhance federal fund medicaid expansion kansas effective jan. 2018 would cost state estimate 31 million fiscal 2018 begin july 67 million fiscal 2019 180,000 additional recipients accord estimate cite legislative report bill without enhance federal match fund state cost would balloon 465 million fiscal 2019. kansas governor veto medicaid expansion bill