Missouri voters expanded Medicaid on Tuesday, delivering life-saving care to over 230,000 people in the second health care win at the ballot box since the pandemic began. Two deep red states have now sent the strongest possible message about the importance of health care in this election: voters want more health care, not less.

“Politicians who fail to heed the voters’ message on health care are going to be in trouble this November. Two red states that Trump won by double digits in 2016 just sent the largest possible rebuke to the President’s attacks on the Affordable Care Act,” said Jonathan Schleifer, Executive Director of The Fairness Project, a lead supporter of this year’s Missouri and Oklahoma campaigns and every winning ballot measure to expand Medicaid since 2017.

“Americans have seen millions of their friends and family members abandoned by politicians and left without access to health care in the middle of a pandemic. People of color face deadly health care disparities and rural hospitals have been forced to close their doors. We know now that with Medicaid expansion, we can lessen racial disparities and keep rural hospitals open.

“Missouri just showed how much these issues are hitting home with voters and the lengths they will go to ensure health care is available for their most vulnerable neighbors.”

Voters across the political spectrum have supported Medicaid expansion ballot victories since 2017. The Missouri campaign was no exception, bringing together a bipartisan, diverse coalition of healthcare workers, hospital associations, business leaders, religious groups, and racial justice organizations.

The Fairness Project has now helped deliver health care to nearly 830,000 people by using a bold, offensive ballot initiative strategy in states where many thought health care couldn’t be a winning issue. Now, voters in the 12 states where expansion is still blocked by politicians have watched what happened in Oklahoma, Missouri, Idaho, Nebraska, Utah, and Maine and are demanding change in their states, too. Organizations in Florida, Mississippi, South Dakota, and Wyoming have all reached out to The Fairness Project about the potential for Medicaid expansion initiatives.

“Voters are rejecting the idea that health care has to be a partisan issue and they are hungry for change. We won’t stop fighting until Americans in every state are afforded the same access to affordable health care, regardless of their zip code and income level,” said Schleifer.

The Fairness Project has now won 18 of its 19 races and has no intention of slowing down with its ballot measure strategy. “We put voters first, and win when politicians refuse to act,” he said.

The Fairness Project is the largest driver of Medicaid expansion campaigns nationally. The organization helped lead the 2017, 2018, and 2020 Medicaid expansion initiatives in Utah, Maine, Idaho, Nebraska,Oklahoma, and Missouri. It provides campaigns with financial backing, strategic advice, and powerful campaign tools that help deliver results for working families.