Health Affairs November 8, 2018
Election Day 2018 will go down as a major turning point in the battle over the implementation of the Affordable Care Act (ACA). Going into Tuesday, 33 states and Washington, D.C. had decided to adopt the ACA’s Medicaid expansion, a part of the law which allows states to use mostly federal money to provide health insurance to its poorest residents. The remaining 17 states are in the Deep South, mountain west, or the middle of the country, and have been led by Republican governors and legislatures who have ardently refused expansion. Key elections on Tuesday blew apart the narrative that this map is indefinitely entrenched.
Supporters of the law in some of the reddest of red states — Idaho, Montana,...
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