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The number of children in the United States without health insurance jumped to 3.9 million in 2017 from about 3.6 million the year before, according to census data. Katrina Wittkamp/Getty Images hide caption

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Katrina Wittkamp/Getty Images

Shereese Hickson was diagnosed with multiple sclerosis in 2012 and is unable to work. She supports herself and her son, Isaiah, on $770 a month. Shane Wynn for KHN hide caption

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Shane Wynn for KHN

Chronically Ill, Traumatically Billed: $123,019 For 2 Multiple Sclerosis Treatments

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Montana Gov. Steve Bullock, a Democrat, warned that failure of a Medicaid-funding initiative on the ballot could make for a tough legislative session in 2019. William Campbell/Corbis via Getty Images hide caption

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William Campbell/Corbis via Getty Images

"Most of us are ecstatic" about Medicaid expansion in Utah, said Grant Burningham, of Bountiful. "We were all together and hugging and kissing last night." Kim Raff for NPR hide caption

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Kim Raff for NPR

A Winning Idea: Medicaid Expansion Prevails In Idaho, Nebraska And Utah

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Amanda Cahill, a supporter of Montana's tobacco tax measure, I-185, at a press conference near the state capitol last August. Tobacco firms have spent $17 million in opposition to the initiative, compared to an $8 million campaign by those in favor of it. Corin Cates-Carney/Montana Public Radio hide caption

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Corin Cates-Carney/Montana Public Radio

Big Tobacco Spends Big To Block A Tax And Medicaid Expansion In Montana

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Grant Burningham, who lives in Bountiful, Utah, worked to get a referendum on Medicaid expansion on the Utah ballot in November. Kim Raff for NPR hide caption

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Kim Raff for NPR

Voters In 4 States Set To Decide On Medicaid Expansion

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Organizers with Idahoans for Healthcare have been driving this green vehicle around the state to campaign for Medicaid expansion. Phil Galewitz/Kaiser Health News hide caption

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Phil Galewitz/Kaiser Health News

When one of Jose Nuñez's retinas was damaged by diabetes in 2016, the Los Angeles truck driver expected his Medicaid managed care policy to coordinate treatment. But Centene, the private insurer that manages his policy, gave him the runaround, he says, and he lost sight in that eye. Heidi de Marco/KHN hide caption

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Heidi de Marco/KHN

Massachusetts wanted to negotiate prices and stop the use of some of the most expensive drugs in its Medicaid program. The federal government said no. Paul Marotta/Getty Images hide caption

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Paul Marotta/Getty Images

"We would not be able to foster without Medicaid," says Sherri Croom of Tallahassee, Fla. Croom and her husband, Thomas, have fostered 27 children in the past decade. They're pictured here with four adopted children, two 18-year-old former foster daughters and those daughters' sons. Courtesy of the Croom family hide caption

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Courtesy of the Croom family

Ohio Gov. John Kasich, a Republican, is eager to preserve an expansion of Medicaid that he pushed through, despite opposition from other members of his party. Ron Schwane/AP hide caption

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Ron Schwane/AP

Texas officials are requiring that people who comment at Medicaid meetings on pharmaceuticals disclose more details about their ties to industry. George Rose/Getty Images hide caption

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George Rose/Getty Images

Cashiers, cooks, delivery people, fast-food workers and their supporters rallied outside New York City Hall in 2017. Their influential union, the Service Employees International Union, also includes about half a million home health aides. Pacific Press/LightRocket/Getty Images hide caption

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Pacific Press/LightRocket/Getty Images

Drug costs are the fastest growing part of state Medicaid budgets. asiseeit/Getty Images hide caption

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asiseeit/Getty Images

States Question Costs Of Middlemen That Manage Medicaid Drug Benefits

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In the mountain town of Juyaya, Puerto Rico, last October, children watched as U.S. Army helicopters brought a team of physicians to assess the medical needs of the local hospital and residents. Going forward, health economists say, the U.S. territory will need continued federal help to deal with its overwhelming Medicaid expenses. Carolyn Cole/Los Angeles Times via Getty Images hide caption

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Carolyn Cole/Los Angeles Times via Getty Images