RICHMOND, Va. — Encircled by Democrats pushing hard for Medicaid expansion, the Republican-controlled House of Delegates is stiffening its spine in opposition.

“Medicaid is a complicated system with a lot of moving parts — and the dollars keep changing,” cautions state Delegate Steve Landes.

The vice chairman of the state Medicaid Innovation and Reform Commission told Watchdog that no one — including Gov. Terry McAuliffe — knows the fiscal impact of expanding the multibillion-dollar indigent-care program in Virginia.