The Michigan House has voted to make hundreds of thousands of adults eligible for Medicaid.
The Republican-led chamber's 76-31 vote late Thursday puts the issue in the hands of the GOP-controlled Senate. Gov. Rick Snyder is pushing hard to expand government-funded health insurance to more low-income adults and is hopeful the Senate will act before breaking for the summer in a week.
The House plan would provide Medicaid to 320,000 more people in 2014 and require new enrollees to pay some of their medical expenses.
Medicaid covers roughly one in five Michigan residents, mostly low-income children, pregnant women and disabled.
The federal health law lets states expand Medicaid to adults making up to 133 percent of the poverty level. Conservative groups are pressuring legislators to resist expansion.