The victories — which bring to 36 the number of states that have elected to expand Medicaid coverage — were the product of a model of political action that may become increasingly common across the country in coming years, particularly in traditionally Republican states.

The model relies on state ballot measures to circumvent state legislatures and governors’ offices dominated in many states by the most conservative wing of the GOP.

It taps into popular support for traditionally liberal ideas — such as extending health coverage to the poor and raising the minimum wage.

And the model brings together local activism with funding and strategic guidance from a national organization called the Fairness Project, a nonprofit advocacy group founded three years ago by a California labor union.

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