Nine Republican governors have accepted the law’s Medicaid coverage expansion for low-income people, despite their own misgivings about big government and strong opposition from state legislators of their own party. Three more governors are negotiating expansions of the program with the Democratic administration in Washington.

The governors’ approach is in sharp contrast to the anti-Obamacare fervor of their party in Congress.

Ohio Gov. John Kasich doesn’t think the Affordable Care Act will be repealed even if Republicans win a Senate majority in next month’s elections. He tells The Associated Press, “That’s not gonna happen.”