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One vote prevented Medicaid expansion from moving forward yesterday in the Kansas state Senate, the Kansas City Star reports.

The big picture: Expansion has been a huge priority for newly-elected Gov. Laura Kelly, a Democrat. Still, flipping a governor's seat from red to blue isn't always enough to move Medicaid expansion forward.

  • The member with the key vote, Senate Majority Leader Jim Denning, left the door open. "I'm not saying no," he said, according to the Star. "I'm saying this policy isn't ready."

What to watch: Some expansion supporters think they still may be able to pass expansion this year by holding the state budget hostage.

Go deeper: Red states' Medicaid gamble: Paying more to cover fewer people

Go deeper

Georgia governor declines Trump's request to help overturn election result

Georgia Gov. Brian Kemp. Photo: Elijah Nouvelage/Getty Images

Georgia Gov. Brian Kemp pushed back on Saturday after President Trump pressed him to help overturn the state's election results.

Driving the news: Trump asked the Republican governor over the phone Saturday to call a special legislative session aimed at overturning the presidential election results in Georgia, per the Washington Post. Kemp refused.

Philanthropy Deep Dive

Illustration: Aïda Amer/Axios

A look at how philanthropy is evolving (and why Dolly Parton deserves a Medal of Freedom).