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Cargo containers piled on each other.

The Facts on U.S.–Canada Tariffs Nearly One Year Into Trump’s Plan

When Separation of Powers Becomes a Suggestion

When Separation of Powers Becomes a Suggestion

An illustration of two hands controlling a small person attached to strings.

Parallels and Patterns: George Orwell’s 1984, Hitler’s Nazi, and Trump 2.0

How Republicans May Steal the 2026 and 2028 Elections

How Republicans May Steal the 2026 and 2028 Elections

Post office trucks parked in a lot.

2026 Will See an Increase in Rejected Mail-In Ballots - Here's Why

Has Medicaid expansion in states improved health outcomes?

Protestors call for health care beneifts

People demonstrate in support of health care in 2017 in Montana, which expanded Medicaid under the Affordable Care Act.

William Campbell-Corbis via Getty Images
Keshav Srikant, EconoFact
By Keshav Srikant, EconoFactJun 25, 2024
Keshav Srikant, EconoFact
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This fact brief was originally published by EconoFact. Read the original here. Fact briefs are published by newsrooms in the Gigafact network, and republished by The Fulcrum. Visit Gigafact to learn more.

Has Medicaid expansion in states improved health outcomes?

Yes.

Studies have shown that Medicaid expansion in states does lead to improved health outcomes.

The Patient Protection and Affordable Care Act (ACA) sought to reduce the number of uninsured Americans through federal government subsidies of Medicaid coverage expansion. This Medicaid expansion was made optional to states, and as of May 2024 there were 10 U.S. states that had not yet implemented it. A study comparing outcomes of expansion vs. non-expansion states found a significant reduction in mortality in states that expanded Medicaid.

Individuals aged 55 to 64 with either less than a high school degree or income under the threshold (138 percent of the federal poverty level) experienced a 9.4 percent drop in mortality after expansion as compared to non-expansion states. Furthermore, research on states that already expanded Medicaid found no clear change in overall spending from state funds due to offsetting savings in health care costs.

This fact brief is responsive to conversations such as this one.

Sources

KFF Status of State Medicaid Expansion Decisions: Interactive Map

EconoFact Impact of Medicaid Expansion on State Budgets and Mortality


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Warrantless home searches sparked the American Revolution – now ICE wants to bring them back
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Donald Trump ran on a simple promise: focus immigration enforcement on criminals and make the country safer. The policy now being implemented tells a different story. With tens of billions of dollars directed toward arrests, detention, and removals, the enforcement system has been structured to maximize volume rather than reduce risk. That design choice matters because it shapes who is targeted, how force is used, and whether public safety is actually improved.

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A Constitutional Provision We Ignored for 150 Years

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A Constitutional Provision We Ignored for 150 Years

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