In case you’re not familiar with the now decades-long battle to expand Medicaid, just two years after the Affordable Care Act was signed into law, SCOTUS ruled that states didn’t have to roll out Medicaid expansion. Extremist officials used this as an opportunity to deprive their constituents of this lifesaving care.
By 2016 — the same year our organization was founded — 19 red and purple states had refused to roll out Medicaid expansion. So we stepped in.
Since then, we’ve helped voters in Idaho, Maine, Missouri, Nebraska, Oklahoma, Utah — and now South Dakota — put Medicaid expansion on the ballot. All red and purple states where out of touch politicians refused to enact the policies their constituents wanted. But time and again, voters chose progress over party, and our campaigns won.
Tomorrow, voters in South Dakota will decide on our seventh campaign to expand Medicaid. If it's successful, that will bring the total down to just 11 states who have yet to roll out this critical care.
I know we can do this, team. I know it because we have supporters like you by our side. If you’re ready to see our team in South Dakota win tomorrow and want to help us continue to power Medicaid expansion until we do put ourselves out of business, will you donate to power the Fairness Project’s work today?
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Thank you, friend.

Kelly Hall
Executive Director
Fairness Project