Big Medicaid expansion vote looms in Mich. Senate

The Michigan Senate is ready to vote on Michigan's Medicaid expansion.

Two months after putting off a decision on whether to expand Medicaid to more low-income adults, leaders of the Michigan Senate are looking to hold their much-anticipated vote.

The showdown in the Republican-dominated chamber this week could determine whether hundreds of thousands of Michigan residents qualify for government-provided health care starting next year.

Republican Governor Rick Snyder is lobbying for Medicaid expansion under the federal health care law. Snyder says those who would be covered now use the emergency room for medical care - which he says is unacceptable and expensive.

But many Senate Republicans oppose the expansion. They have a philosophical problem with expanding government and are suspicious of contentions that it will save money.

The Republican-led House has already voted to expand Medicaid to more people.