NPR

Why haven't Kansas and Alabama — among other holdouts — expanded access to Medicaid?

Only 10 states have not joined the federal program that expands Medicaid to people who are still in the "coverage gap" for health care
Anderson Family Care in Demopolis, Alabama, is like a lot of rural health providers that treat many uninsured or underinsured patients.

From Nebraska to North Carolina, states with Republican-led legislatures have slowly moved toward expanding access to Medicaid for thousands of their residents. But some are still holding out.

Medicaid provides health care to some 80 million Americans living on low-incomes. But millions more fall into the so-called "coverage gap" where they make too much money for Medicaid but not enough to get their own insurance.

With Medicaid expansion, states and the federal government can cover those making up to 138 percent of the poverty level - about $20,000 a year for an individual.

The federal government pays for most of it through the Affordable Care Act,

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