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Kasich’s moderation didn’t resonate with Republican voters in last year’s presidential primaries. But as the leader of a politically consequential state, the Trump skeptic commands a key platform. Lately he has used it to rally GOP governors behind preserving the Affordable Care Act’s Medicaid expansion, which allowed him to secure coverage for nearly 700,000 Ohioans. Kasich made his case directly to Trump in February, and it made a difference: Instead of immediately zeroing out federal support, the GOP’s replacement plan would extend it until 2020.