PHOENIX (AP) — It's almost a case of starting over for Gov. Jan Brewer as she weighs whether to ask legislators to provide government-paid health coverage to hundreds of thousands of additional low-income Arizonans.

A new Obama administration pronouncement eliminated a middle option that was seen as potentially palatable for Brewer and at least some cost-conscious majority Republican legislators.

The state's policymakers are now faced with what could be an all-or-nothing decision with big ramifications for the state treasury and people lacking health care coverage.

The "all" would be to provide expanded Medicaid eligibility as envisioned under an expansion included in President Barack Obama's health care law. Including changes that are mandatory for states, that course would add coverage for an additional 300,000 people in the 2013-2014 fiscal year.

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