While Kasich contends that the expansion is saving money by decreasing emergency-room visits, he also justifies it by scriptural references. One is Jesus’ admonition in Matthew 25 to care for “the least of these,” followed by a warning that those who don’t will be sent to “eternal fire prepared for the devil and his angels.” Another is a more general reference by Kasich who says when you arrive at the gates of Heaven, you won’t be asked whether you balanced the budget, but whether you helped the least of these.

“I would agree entirely that we’re all morally obligated to look out for the poor,” Roy said on Thursday.

He also wouldn’t have a problem if Kasich cited the Bible as his personal motivation for Medicaid expansion while acknowledging that others may disagree.

“But he makes the argument the only way to help the poor is to do so through Medicaid, and people who disagree are bad Christians,” Roy said. “If he did make any converts, he certainly didn’t run into them afterward.”