Virginia Secretary of Health and Human Resources Dr. Bill Hazel. (AP Photo/Steve Helber, File)

WASHINGTON (AP) — It’s health care brinksmanship, with hundreds of billions of dollars and the well-being of millions of people at stake.

President Barack Obama’s health care law expands Medicaid, the federal-state health program for low-income people, but cost-wary states must decide whether to take the deal.

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