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This is THE #1 issue that pissed me off the most when the ACA was passed. Those below 138% poverty were supposed to be covered by the ACA, and then that part was blocked and they allowed states to decide on it and only those below 100% were covered. So that meant those between 100%-138% (<$15k per year at the time) weren't covered. The federal government was going to pay for 94% of it. Only GOP states said no to it. This was an utterly stupid move financially for Nebraska because Nebraska doesn't pay that much in federal taxes comparatively. I just looked and we are ranked #26 in federal taxes paid. That means, basically, that other states would have paid for Nebraskans to have health care. More people with more $ in Nebraska would have been a good thing for Nebraska. I calculated, around 5 years ago, that it would have cost Nebraskans $8 per year on average, and that includes the millionaires. Well, now we can vote on it ourselves. I'm sure we won't pass it anyway because people are ignorant about it, but we really should. https://ballotpedia.org/Nebraska_Initiative_427,_Medicaid_Expansion_Initiative_(2018)