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Advocating for Medicaid Expansion in Republican States

Overcoming “Fractious Federalism” in the Statehouse and Ballot Box

Bibliographic Data

ID6374693
AuthorsJake Haselswerdt (0000-0002-8527-0506, University of Missouri)
Year2021
Volume51
Issue3
Pages459-483
Publication date2021-07-26
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePublius The Journal of Federalism (JOURNAL)
Journal identifiersISSN: 0048-5950 • E-ISSN: 1747-7107
PublisherOxford University Press (OUP) (PUBLISHER)
DOI10.1093/publius/pjab018
OpenAlexW3184906119
LanguageEN
Citations received1
References cited25

Partisan and ideological polarization have been major barriers to the implementation of the Affordable Care Act’s Medicaid expansion in Republican-controlled states. Scholars have referred to this situation as “fractious federalism,” with Republican state policymakers toeing the national party line in refusing to cooperate with a major policy initiative. In some cases, however, diverse advocacy coalitions have overcome fractious federalism to pass expansion legislation in deeply Republican states. More recently, such coalitions have resorted to ballot initiative campaigns as another means of overcoming such polarization, and won impressive victories in a series of “deep red” states. Drawing on forty-four interviews with people involved in expansion advocacy in eleven states, I report important insights on the formation and activities of these coalitions in both the legislative and ballot initiative eras of Medicaid expansion politics

Ballot · Federalism · Health care · Ideology · Legislation · Legislature · Medicaid · Polarization (electrochemistry · Political economy · Political science · Politics · Sociology · State (computer science · Voting · Electoral Systems and Political Participation · Policy Transfer and Learning · Public Policy and Administration Research · Law · Public Administration

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Unique citing works1
Citations per year0,25
Citation span2022 - 2022 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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