Recent midterm victories have prompted officials in Texas, Georgia, and Wisconsin to reconsider their holdout status regarding healthcare expansion. Each of the three states recently elected Democratic governors who ran on platforms supporting the policy. Despite this executive momentum, Republican majorities control parts of the state legislatures in Georgia and Texas, posing steep hurdles to any formal adoption. Healthcare policy experts nevertheless view the altered political landscape as a catalyst that could restart stalled expansion negotiations.
Key points
Executive leadership changes have renewed the potential for healthcare expansion in sever…: Executive leadership changes have renewed the potential for healthcare expansion in several long-standing holdout states.
Divided government poses significant legislative hurdles to enacting expansion policies i…: Divided government poses significant legislative hurdles to enacting expansion policies in both Texas and Georgia.
Health policy experts view the election results as a dynamic shift that creates unexpecte…: Health policy experts view the election results as a dynamic shift that creates unexpected momentum for coverage access.
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WASHINGTON — Three of the 10 states that haven’t expanded Medicaid could reconsider their holdout status now that Democrats have secured more power in state government.
Texas, Georgia, and Wisconsin are among the states where major power shifts took place in the midterm elections. The Democratic governors-elect in all three made Medicaid expansion a part of their campaigns, though the GOP still holds majorities in part of the state legislatures in Texas and Georgia, which could complicate the path forward.
“Before Tuesday, I would have not expected much activity in the 10 remaining states that have not expanded Medicaid,” KFF Executive Vice President for Health Policy Larry Levitt said, referring to the elections. “But I think that dynamic has changed.”
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