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JEFFERSON CITY, Mo. (AP) - Some supporters of a Medicaid expansion championed by President Barack Obama are also embracing a Republican alternative put forth in the Missouri House.

Among the witnesses testifying for the Republican plan Monday in a House committee were officials representing medical clinics, hospitals and business groups. Some of those same people have stood by Democrats in recent weeks as they embraced a proposed Medicaid expansion for lower-income adults.

But Missouri's Republican-led committees have repeatedly defeated the Medicaid expansion backed by Obama and Democrats.

The alternative by Republican Rep. Jay Barnes would cover fewer additional adults than Obama's version while also removing some children from the Medicaid rolls. Medicaid recipients would be covered through competitively bid managed care policies and could get cash incentives for holding down their health expenses.