Voters in Idaho, Nebraska and Utah may have the chance to do something their state lawmakers would not: expand Medicaid to thousands of residents.

After years of being told “no” by GOP-controlled state legislatures, health-care advocacy groups have spent much of 2018 leading campaigns to put the question on the ballot before voters in November.

Behind the scenes, those groups have been aided by The Fairness Project, a Washington-based organization that has become the primary funder of these ballot-initiative campaigns, spending close to $5 million in five states over the past year.

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