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When former Indiana Gov. Mike Pence embraced Obamacare’s Medicaid expansion with conservative twists — such as requiring enrollees to contribute to their care — critics lamented poor people would be locked out while backers cheered the program’s focus on personal responsibility. Neither side’s expectations were quite borne out. (Pradhan, 4/15)

Cotterill, 28, and more than 700,000 Ohioans benefited from the Medicaid expansion in the Buckeye State to get health insurance. Yet uncertainty clouds the ACA’s future, even after the Trump administration’s first effort to repeal the law crashed. (Saker, 4/16)

Democrats are preparing for another run at Medicaid expansion when lawmakers return, hoping they can offer changes to conservatives to gain their support. But opponents vow to fight, saying there are no modifications that would win them over. The Legislature will reconvene May 1. Supporters of expansion mounted an unsuccessful effort earlier this month to override Gov. Sam Brownback’s veto of a bill that would have increased eligibility for the program. (Shorman, 4/16)

On May 1, 250,000 additional Medicaid recipients in Missouri will be enrolled in a managed care system, and advocates and health policy experts say they are worried that not enough has been done to make them aware of the changes. Patients could fall through the cracks because of the confusion, say policy experts with the Missouri Foundation for Health. (Liss, 4/16)