Team,

One of the most important provisions of the Affordable Care Act (ACA) was the expansion of Medicaid eligibility to cover more low-income Americans. Once the expansion took effect in 2014, 26 states and the District of Columbia immediately participated in the program – meaning millions of uninsured people were now eligible for lifesaving health coverage overnight.

When the Supreme Court ruled that the federal government can’t force states to accept Medicaid expansion, 24 states led by extremist governors refused to follow suit. Enter: the Fairness Project. Since 2016, we’ve empowered voters to run Medicaid expansion campaigns to secure the coverage they needed. And through the power of ballot measures, in Idaho, Maine, Missouri, Nebraska, Oklahoma, South Dakota, and Utah — voters did just that.

HELP US CLOSE THE MEDICAID GAP →

Since then, research comparing expansion states to non-expansion states has found significant racial disparities in health coverage, access, and outcomes: 

  • The gap in uninsured rates between white and Black adults decreased by 51% in expansion states versus just 33% in non-expansion states.
  • Black women experienced 16 fewer deaths per 100,000 live births in expansion states than in non-expansion states.
  • The gap between white and Black adults experiencing difficulty accessing care due to cost decreased from 8.1% in 2013 to 4.7% in 2018.[1]

As of today, 39 states and D.C. have expanded Medicaid, 7 of which were a direct result of our ballot campaigns. 

POWER OUR WORK →

But in those 11 remaining states that continue to refuse, there are millions of people who are being denied coverage that would be eligible. The Department of Health and Human Services estimates that the number of people eligible for Medicaid among uninsured Black adults in the remaining non-expansion states would increase by nearly fivefold.[2]

That’s why it’s critical that we continue to support Medicaid expansion ballot measures. The Fairness Project has already helped bring Medicaid coverage to over 1 million Americans through 7 successful campaigns – but we won’t stop fighting until every state where we can run a ballot measure adopts the expansion of Medicaid. Will you make a contribution today to help us continue our fight and close the Medicaid coverage gap for good?

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Thank you,

Fairness Project

 

[1] https://www.cbpp.org/research/health/medicaid-expansion-has-helped-narrow-racial-disparities-in-health-coverage-and#:~:text=The%20gap%20in%20uninsured%20rates,in%20non%2Dexpansion%20states
[2] https://www.whitehouse.gov/cea/written-materials/2021/06/22/the-effects-of-earlier-medicaid-expansions-a-literature-review/
 
      

Thanks to grassroots supporters like you, our team at the Fairness Project has won 31 people-powered ballot measure campaigns since 2016, changing over 18 million lives by expanding health care, raising wages, guaranteeing paid leave, and ending predatory lending directly at the ballot box when politicians refuse to act. Your support allows us to make this progress possible.

 
 
Contributions or gifts to the Fairness Project are not deductible as charitable contributions for federal income tax purposes. Contributions to the Fairness Project support its many efforts nationwide and any focus is at the Fairness Project’s sole discretion. Contributions will not necessarily be used to support activity in any one state.


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The Fairness Project
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United States