Igniting a Voter-Powered Movement.
Delivering Change.

Winning health care in red & purple states

Since 2016, The Fairness Project has broken new ground and won Medicaid expansion at the ballot box in six red and purple states when politicians have refused to act — including Oklahoma and Missouri in 2020.

Now, our team is launching a campaign to expand Medicaid in South Dakota to deliver health care for 40,000 people and show the nation once again that Americans everywhere want more health care, not less.

Help us win more campaigns for health care

Support working families and The Fairness Project Help us put progressive issues on the ballot to expand health care and win social, racial, and economic justice.


Since January 1, 2017, thanks to ballot-box efforts to #raisethewage

Winning Everywhere

Since 2016, no organization has a better track record of delivering results for workers at the ballot box. The Fairness Project has now won 20 out of its 21 ballot campaigns, delivering health care and leave improvements for low-income Americans while putting billions into the pockets of workers. We’ve delivered change for more than 17 million Americans, and we’re just getting started. Click on a state to learn more about our work.

  • Andy Slavitt

    “Winning Medicaid expansion in red states like Utah, Idaho, and Nebraska was a complete game changer in the fight to expand health care, and none of it would have been possible without The Fairness Project. The message was simple, but poignant—Americans everywhere in this country want more health care —not less.”

    Andy Slavitt, former Acting Administrator of the Centers for Medicare and Medicaid Services
  • Brian Kettenring

    “Creating systematic change isn’t easy. It doesn’t happen by mistake and can’t be created by one person or group. We are excited to work alongside The Fairness Project to support pro-worker and pro economic justice ballot initiatives that are happening across the nation.”

    Brian Kettenring, Co-Executive Director, Center for Popular Democracy
  • Paul Sonn

    “Ballot initiatives are an important tool that empower voters when Congress and state legislators have lost sight of the needs of our working families. We welcome The Fairness Project’s focus and effort to bolster minimum wage ballot initiatives and ensure voters can take another step toward economic security in their own lives and communities.”

    Paul Sonn, General Council and Program Director, National Employment Law Project
  • Holly Sklar

    “We can’t build a strong economy on a falling wage floor. Workers are also consumers, and businesses need customers who can afford what they are selling. The success of ballot measures in Red states in 2014 sent a clear message: Americans across the political spectrum want to raise the minimum wage. We look forward to partnering with The Fairness Project in states where broad coalitions including business can work together to raise the minimum wage and grow jobs.”

    Holly Sklar, CEO, Business for a Fair Minimum Wage
  • Deborah Drake

    “People who can’t afford to put food on the table or go see a doctor don’t have time to wait for politicians to solve our problems. We need real change, and we need it now. That’s why ballot initiatives are so important. They deliver results for families like mine.”

    Deborah Drake, Teacher's Aide, St. Louis, MO
  • Adam Morfeld

    “Our partnership with The Fairness Project is the reason 90,000 more Nebraskans have health care. It brought together grassroots support, national resources and expertise, and a top-notch campaign team. It’s a model that works, and it’s one that I’d like to see us use again to make even more progress.”

    Nebraska State Sen. Adam Morfeld

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