As Senate Republicans turn in earnest to writing a health-care bill, hoping to craft a measure by Congress’s August recess, no question looms larger than how they will handle the Medicaid program for low-income Americans.

At the center of that debate stands one powerful group: Republican governors. And they are split down the middle.

Sixteen GOP governors represent states that expanded Medicaid under the Affordable Care Act,…

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GOP Governors at Odds Over Medicaid Expansion’s Fate