Republican-led states that signed onto Medicaid expansion are in a tough spot as they wonder if president-elect Donald Trump’s pledge to dump the Affordable Care Act means the expansion goes away. Former Arizona Governor Jan Brewer fought her own Republican party in the state
Legislature to push through expansion three years ago. Brewer now hopes one of the pillars of President Barack Obama’s health care law can be saved. She says there’s no more cost-effective way to provide insurance to the working poor. Nearly 400,000 Arizonans have gained Medicaid
insurance since Brewer’s proposal took effect in 2014 and about 9 million nationwide. Many officials in the GOP-led states that embraced expansion are also strong proponents of the program.
