RICHMOND, Va. — Plans to expand Medicaid in Virginia may not be dead on arrival at the General Assembly, but they’re struggling for life support.

“It’s such a big new entitlement at a time when we need to be looking hard at the cost of entitlements,” House Speaker William Howell told in an interview.

Howell and his fellow Republicans, who hold a veto-proof lock on the House and regained a majority in the Senate, rebuffed efforts to expand Medicaid last session.