Democratic wins put Medicaid expansion back in play in holdout states

By: Anna Claire Vollers

Outlets: Stateline

Published: November 6, 2026

Words: 942

Last Updated: 3 days, 2 hours ago

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In a handful of holdout states, Democrats appear ready to use their newly won statehouse dominance to expand Medicaid under the Affordable Care Act.

In at least four states — Georgia, Kansas, Texas and Wisconsin — the midterm election results have tilted the political calculus toward expansion, though lawmakers have yet to lay out details. Medicaid is the joint federal-state insurance program for people with low incomes.

Georgia and Wisconsin have limited expansion programs, but …

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