the aca and state politics

Health Insurance Overview from 2012-2015

  • State Expanded Medicaid
  • No Expansion

States that supported the ACA through expanding Medicaid, overall, achieved larger percent increases of population insured. (Hover over states for more info)

Source: Kaiser Family Foundation

Last week, North Carolina Governor Roy Cooper announced his effort to expand Medicaid in his state. This effort could provide health care to more than 500,000 people in North Carolina. While Obamacare is a federal act, state governments decide whether to accept federal funding to expand healthcare access. Since 2013, 31 governors have expanded Medicaid, providing healthcare to millions of Americans.

But a number of Republican governors have refused to accept this funding, prioritizing partisan politics over the lives of their constituents. This map shows the change in uninsured rates from 2012 to 2015 by state, as well as which states have accepted the Medicaid expansion.

This is yet another example of why state governments matter. State legislators and governors implement federal laws, and, as such, they have the power to weaken or strengthen initiatives like Obamacare. We need to elect more progressive leaders like Governor Roy Cooper -- and we need to do everything in our power to protect Obamacare right now. 

act now