Arizona Governor Jan Brewer wrestled with the decision on Medicaid proposal the weekend before she made her State of the State address in January. She practiced two versions of her speech prepared: One with a Medicaid expansion in it and one without it.
The Republican governor ended up announcing during her January 14th address that she wanted to expand the state's Medicaid program. In doing so, she bucked many conservatives in her party to embrace Medicaid expansion, a signature piece of Democratic President Barack Obama's health-care overhaul.
Brewer had been an early critic of the president's health-care plan and joined 25 other states to try to repeal it. Despite the division within the GOP, the Arizona Senate on Thursday approved the governor's proposal.
The Medicaid expansion plan faces an uncertain future in the House of Representatives.