A senior House of Delegates Republican has broken with his caucus’s staunch opposition to Medicaid expansion, but after a two-hour closed-door meeting, his colleagues were tight-lipped about their reaction or whether they would join him.

Del. Terry Kilgore, R-Gate City, chairman of the powerful Commerce and Labor Committee, says he would support expanding Medicaid by using Affordable Care Act dollars, with one key change not normally allowed by Washington.

He is the first House Republican to go public saying so, though some quietly hint that they’re looking hard at it.

And GOP leaders who say they still oppose full Medicaid expansion, from House Appropriations Committee chairman Chris Jones, R-Suffolk, to Senate Majority Leader Thomas K. “Tommy” Norment Jr., R-James City County, and Senate Finance Committee co-chairman Emmett Hanger, R-Mount Solon, have all said the General Assembly needs to do something to expand low-income Virginians’ access to health insurance.

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Senior GOP legislator breaks with party on Medicaid expansion