Puckett’s Senate exit undid McAuliffe’s secret plan for Medicaid expansion

“RICHMOND — Virginia Gov. Terry McAuliffe had run out of options to pull off his marquee campaign promise to expand Medicaid under the Affordable Care Act. Even a risky plan to circumvent the legislature had fallen apart.
That’s when the governor, his top priority defeated, picked up the phone and called the man he blamed for the catastrophe.
“Hey, Phil? Terry McAuliffe,” the governor said in a seething voice message to Phillip P. Puckett, a Southwest Virginia Democrat who had quit the state Senate days earlier, throwing control of it to the GOP. “I want you to know we just lost the vote, 20 to 19, in the Senate. Medicaid is done. I hope you sleep easy tonight, buddy.””