Former president Bill Clinton once conveyed messages of hope by referring to a small town by the same name, and the place of his birth, in Arkansas. Once again, hope springs eternal in the Natural State – this time for preserving and advancing a model that other conservative regions could emulate in crafting a viable political alternative to Medicaid expansion under the Affordable Care Act.

More than 200,000 low-income residents in Arkansas have enrolled in the state’s so-called private option, which requires 75% support from the state legislature to continue each year. It passed by a narrow margin in 2014.

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