About 2.2 million people, who earn too much for Medicaid and too little for Obamacare subsidies, fall in that coverage gap nationwide, according to the Kaiser Family Foundation.

Their positions have ignored much evidence that states that have expanded did not take on additional cost burdens and increased coverage saved American lives.

The conversation around Medicaid expansion appears to be undergoing a new and dramatic shift in some of the holdout states, however. Central to that change is the Biden administration’s offer, via its Covid-19 relief bill, of increased federal dollars over two years to states that adopt expansion for the first time. It’s expected that funding could cover the states’ Medicaid costs for that period.

'Changed hearts and minds': Biden's funding offer shifts Medicaid expansion debate