One of the first signs drivers see on the way into Unionville, Mo. is this billboard advertising cardiology at Putnam County Memorial Hospital. Offering specialty services, like cardiology and psychiatry turned the hospital around, community leaders say. Bram Sable-Smith/KBIA/Side Effects Public Media hide caption

itoggle caption Bram Sable-Smith/KBIA/Side Effects Public Media

While governor of Texas, Rick Perry refused to accept federal funds to expand Medicaid. Rick Wilking/Reuters/Landov hide caption

itoggle caption Rick Wilking/Reuters/Landov

Alaskans attend a rally in Anchorage for Medicaid expansion. Jonathan Casurella/Alaska Public Media hide caption

itoggle caption Jonathan Casurella/Alaska Public Media

Florida Gov. Rick Scott speaks Wednesday with reporters in Washington, D.C., after a meeting with Sylvia Burwell, head of the Department of Health and Human Services. Alex Wong/Getty Images hide caption

itoggle caption Alex Wong/Getty Images

St. Agnes Hospital in Baltimore is one of the 131 hospitals run by Ascension Health. It's a not-for-profit, Catholic health care system that treats many low-income patients. St. Agnes Hospital hide caption

itoggle caption St. Agnes Hospital

Florida state Senate president Andy Gardiner, R-Orlando, was applauded by his fellow senators Tuesday, after expressing his disappointment with the Florida House for ending its session three days early, instead of working through the budget clash. Steve Cannon/AP hide caption

itoggle caption Steve Cannon/AP

Michaela leans on her mother, Dee, while talking to Dr. Karin Selva about puberty suppression. Kristian Foden-Vencil/Oregon Public Broadcasting hide caption

itoggle caption Kristian Foden-Vencil/Oregon Public Broadcasting

Johnny Reynolds ignored diabetes symptoms and put off going to the doctor for years when he didn't have health insurance. He was afraid he couldn't afford treatment. Anders Kelto/NPR hide caption

itoggle caption Anders Kelto/NPR

When Alexis Paige lost her job, she was afraid she would have to discontinue her estrogen treatments. That can't happen now under the Oregon Health Plan. Cree Jude Gordon/Courtesy Alexis Paige hide caption

itoggle caption Cree Jude Gordon/Courtesy Alexis Paige

Montana Gov. Steve Bullock is giving Medicaid expansion another try. Matt Volz/AP hide caption

itoggle caption Matt Volz/AP

Gov. Bill Haslam announces his proposal to expand Medicaid in Tennessee on Dec. 15. Under the plan, the hospital association would pay the state's portion of the program. Erik Schelzig/AP hide caption

itoggle caption Erik Schelzig/AP