When the Affordable Care Act was enacted in 2010, Medicaid expansion was a cornerstone of lawmakers’ efforts to expand realistic access to healthcare to as many people as possible. The idea was that everyone with household incomes up to 138% of poverty would be able to enroll in Medicaid.

Since 2010, the number of states that have accepted ACA’s Medicaid expansion has steadily grown – from just a handful by 2012, when the program went into effect, to 35 states and DC as of early 2020.

Midwest, heavily Republican and Southern states were the big hold-outs and still are. Nebraska, Kansas, Oklahoma, Missouri were holds, with Nebraska voters finally approving Medicaid expansion in 2018 via a ballot initiative.

Once again, this year, Kansas and Missouri will take on this issue, but this time it appears their efforts will take them down different paths. SEE SLIDESHOW BELOW FOR STORIES

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