Six Republican governors have agreed to expand Medicaid, the second-largest piece of President Barack Obama’s U.S. health-care overhaul, accepting federal money to ensure their state’s residents have access to medical coverage.

Michigan Governor Rick Snyder, an Affordable Care Act opponent, said yesterday it makes sense for the “physical and fiscal health” of his state to participate in the law’s expansion of Medicaid, the state-federal health plan for the poor. He became the sixth Republican governor to jump on board, following John Kasich of Ohio’s announcement three days ago. Snyder, Kasich and the rest of nation’s 30 Republican governors generally oppose the $1.2 trillion health law as too costly. Five Republican governors have agreed to participate in the core provision of the law, building new marketplaces called exchanges to sell health insurance.

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