So far, the ACA has proved remarkably popular at the ballot box. Last year, Maine voters approved by an 18-point margin a measure to expand Medicaid, despite fierce opposition from Republican Gov. Paul LePage. Since then, LePage has bitterly resisted implementing the law, leading to a lengthy court battle. But the Fairness Project, a national group that backed the proposal, sees the campaign as a successful test run. “There’s clearly a trend whereby the legislatures refused to embrace the Medicaid expansion for whatever reasons,” says Jonathan Schleifer, the group’s executive director, “and their constituents want to see the benefits of [expansion].”

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