With more and more sessions drawing to a close, the latest count shows 15 states that have rejected expanding Medicaid under the Affordable Care Act, 20 that have agreed to comply with the law and expand coverage, and the rest still debating expansion. In many states -- including Florida and Ohio -- that debate is playing out in a contentious intramural fight among conservatives themselves. Conservative governors supporting expansion are running into opposition from ideologically opposed lawmakers in their own party, as the political debate over Medicaid increasingly appears to be taking place entirely on one side of the aisle: