(AP)--The Kansas House failed by a narrow margin Monday to override Gov. Sam Brownback’s veto of a bill that would expand Medicaid to thousands of low-income Kansans.

Lawmakers voted 81-44  to override the governor’s veto, three shy of the total needed to pass the bill without his support.

That effectively ends the Medicaid expansion push in Kansas after it passed out of both chambers with Republican and Democratic support earlier this year.

The bill would have extended the state’s health coverage for the poor, disabled and elderly under former President Barack Obama’s health care law to cover up to 180,000 more adults.

Brownback is a critic of the 2010 Affordable Care Act.

He argued in his veto message that expanding Medicaid would burden the state with what he called “unrestrainable” costs. Supporters said it would be a net plus for the state.