In its final year, the Obama administration is pulling out all the stops to convince the 19 states that have not expanded Medicaid under the Affordable Care Act to do so.
States that have not adopted Medicaid expansion, mostly in the South and Midwest, are nearly all led by Republican governors. The White House has been offering financial incentives to persuade them to expand the program to cover people whose incomes are above 138 percent of the federal poverty line but don’t make enough money for Obamacare subsidies. A 2012 Supreme Court ruling made expansion optional for states, though it was originally meant to be national under the law.
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