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Thursday, November 5, 2026 · Updated 1:04 PM MT · 58 stories today
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State PolicyNovember 5, 2026

Georgetown CCF: Election Results Revive Medicaid Expansion Push in Four States

In a Georgetown CCF blog post, the author reports that election results changed political control in four non-expansion states: Georgia, Kansas, Texas, and Wisconsin, making Medicaid expansion more viable there. The post notes incoming Democratic governors or legislative majorities in these states have publicly supported expansion, citing statements from Wisconsin Assembly Democratic Leader Greta Neubauer, Texas gubernatorial candidate Hinojosa, Kansas candidate Cindy Holscher, and Georgia's Keisha Lance Bottoms. The author also notes that H.R. 1's budget reconciliation law added work reporting requirements, more frequent renewals, and financing changes that make expansion harder and costlier to implement, though the 90% federal matching rate remains permanently available. The post cites an estimate that 1.2 million low-income uninsured people remain in the coverage gap across the 10 non-expansion states, and says Georgetown CCF will track expansion debates in these states going forward.

Why it mattersState Medicaid agencies and policymakers in Georgia, Kansas, Texas, and Wisconsin may need to weigh renewed expansion proposals against the added administrative and financing burdens created by H.R. 1.

Finance · Managed Care

Read the full article at ccf.georgetown.edu →
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