Virginia Democrat Shelly Simonds conceded the election for the state's House of Delegates on Wednesday after losing a tie-breaking lot.
Republican incumbent David Yancey was announced the winner last week when his name was literally drawn out of a bowl.
That puts the chamber in a narrow 51-49 split, with Republicans maintaining the majority.
Simonds said on Twitter she conceded "with great disappointment" and would push for Yancey to support Medicaid expansion.
Additional reporting from Newsy affiliate CNN.
