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Obamacare Enrollment by State: Most Enrollees Live in Republican Areas

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Obamacare Enrollment by State: Most Enrollees Live in Republican Areas

More than 23 million Americans are currently enrolled in Obamacare plans, and nearly all of them will face higher health care costs next year if extra federal funding for subsidies expires, as scheduled, on Dec. 31.

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Share of population enrolled in Obamacare plans

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Source: KFF

Note: Alabama, Florida, Georgia, Kansas, Mississippi, South Carolina, Tennessee, Texas, Wisconsin and Wyoming have not adopted the Affordable Care Act’s Medicaid expansion.

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The New York Times

Democrats in Congress are withholding their votes on a government spending bill to demand that Republicans extend these subsidies, which lower the cost of insurance for people who buy their own health care coverage in marketplaces established by the Affordable Care Act. Since Congress introduced the extra funding in 2021, enrollment has doubled.

These Americans live nearly everywhere in the country, but their numbers are especially concentrated in a handful of red states whose governments have declined to expand Medicaid programs to cover poor, childless adults.

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Fifty-seven percent of people with this type of insurance live in Republican congressional districts.

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Obamacare enrollment rates, by congressional district

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Source: KFF

The New York Times

The difference is driven by extra enrollment in states that hadn’t expanded Medicaid since the Affordable Care Act encouraged states to do so in 2014. Obamacare was designed to cover the poorest Americans with Medicaid and then offer subsidies for people who earned more. There is a small share of the income distribution that overlaps; those people are eligible for Medicaid where it is available, and subsidies where it is not. As a result, more low-income Americans are eligible for subsidies in states that don’t offer Medicaid to all poor adults.

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Since subsidies became more generous in 2021, overall enrollment has more than tripled in six red states: Texas, Louisiana, Mississippi, Tennessee, Georgia and West Virginia. Of that group, only West Virginia expanded Medicaid.

Obamacare coverage has become especially widespread in south Florida, where there is a large concentration of low-wage workers and early retirees.

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Most of the congressional districts with the highest enrollments are in states that Trump won in the presidential election, but not all are represented by Republicans in Congress.

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Districts with the highest Obamacare enrollment rates

Note: Table only includes districts with rates 15 percent or higher. Margin of victory not shown for representatives who ran uncontested or faced another member of the same party on the November ballot.

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The New York Times

Americans with relatively low incomes make up the largest group of enrollees by far. Nearly half of consumers nationwide earn less than 150 percent of the federal poverty level, around $24,000 for a single person in most states or around $48,000 for a family of four. These people tend to work in low-wage jobs that don’t offer health insurance, have part-time employment, or are freelancers who work gig jobs.

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The extra subsidies are especially generous for this group. As long as they choose one of the two lowest-cost plans in their market, they don’t have to make any monthly payments for their premiums. Critics of the subsidies think these are so generous for this group that they have invited fraud. If the subsidies expire, the share of premiums for this group will go up to around $27 to $82 a month.

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Obamacare enrollment, by income range

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Source: KFF

Note: Two groups, the group of people below the federal poverty level and the group labeled as “Unknown” in the data, were excluded from the table. They make up 2.2% and 3.8% of total enrollees.

The New York Times

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Americans who earn more than 400 percent of the poverty level, around $63,000 for a single person in most states or $129,000 for a family of four, make up a much smaller share of the market, around 7 percent. This group tends to include people who are self-employed or who work for small businesses, and early retirees — all of whom lack work-based options.

In dollar terms, the expiring subsidies will make the biggest difference for this group. With the extra subsidies, their payments are capped at 8.5 percent of their income. Without action, they will have to pay the full cost of their insurance next year, more than $2,000 a month for older people in the most expensive markets.

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Some conservative critics of the extra subsidies argue this group earns enough that they should be expected to pay their insurance premiums without help.

Without the extra subsidies, analysts expect that millions of Americans enrolled in Obamacare will drop their insurance coverage or face higher prices. The Congressional Budget Office estimates that around two million more people will become uninsured next year without the extra financial help, and the number could rise to 3.8 million by 2035. Other analyses have estimated even larger reductions in coverage.

Exactly who will become uninsured is difficult to know. But Cynthia Cox, a vice president at KFF, a health care research group, said the losses were most likely to occur in the places where signups had risen the most since the extra subsidies became law in 2021.

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Change in enrollment from 2020 to 2025

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Source: KFF

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Note: Alabama, Florida, Georgia, Kansas, Mississippi, South Carolina, Tennessee, Texas, Wisconsin and Wyoming have not adopted the Affordable Care Act’s Medicaid expansion. The margin of victory in the presidential election in 2024 is shown.

The New York Times

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Top GOP lawmaker rallies around conservative school board member facing calls to resign

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Top GOP lawmaker rallies around conservative school board member facing calls to resign

NEWYou can now listen to Fox News articles!

House GOP Conference Chairwoman Lisa McClain, R-Mich., rebuked a school board in Richmond, Michigan, after some of its members tried to remove a conservative colleague for missing meetings while on military deployment to the Middle East.

Ray Stier, who received an American flag and a copy of the Congressional Record from McClain on Thursday as a commendation of his work, had been on deployment, attending board meetings remotely, but eventually lost virtual access.

That’s when the board called for his removal, citing a “disservice” caused by his absence.

“One of the board members’ family was taking to social media and putting out misinformation about myself and my wife and things that were not factually accurate and then ultimately calling for my resignation and prompting others to reach out to the district to call for my recall,” Stier recounted.

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PARENTS SAY THEY’RE RUNNING FOR LOCAL SCHOOL BOARDS TO FIGHT ‘POISONOUS’ CRITICAL RACE THEORY

House GOP Conference Chairwoman Lisa McClain, R-Mich., left, pictured alongside Ray Stier, a school board member in Richmond, Michigan. (Andrew Harnik/Getty Images; office of Lisa McClain)

The moment is just the most recent clash between Republicans and school boards over policies that, in their view, are gatekeeping schools against diversity of thought and accountability.

“I think education is extremely important and vital,” McClain told Fox News Digital.

“And educators and administrators need to teach children how to think, not what to think. It’s about time that administrators begin to get held accountable for their actions. Good actions and bad actions.”

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McClain’s meeting with Stier comes on the heels of a congressional hearing last week where she grilled a superintendent from Virginia over student privacy policy, probing if those policies were being unevenly applied to favor transgender students.

VIRGINIA SCHOOL DISTRICT SLAPPED WITH COMPLAINT ALLEGING NEW CLAIMS IN VIRAL TRANS LOCKER ROOM FIGHT

Rep. Lisa McClain, R-Mich., leaves a House Republican Conference meeting at the Capitol Hill Club on Feb. 28, 2023. (Tom Williams/ CQ Roll Call via Getty Images)

“The victims got a 10-day suspension and the biological female that did the filming got a one-day suspension,” McClain said, referring to an incident at Stone Bridge High School in Loudoun County where students had been reprimanded for filming in a locker room.

“How does that make sense?”

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In Stier’s case, McClain questioned whether the board had targeted Stier on account of just his deployment overseas. Stierhad clashed with the board after learning that some of the district’s bathroom policies would have allowed fourth-grade students to use the same bathroom as transgender eighth-grade boys.

“Prior to him filling the seat, the seat was open for two months,” McClain observed. So that logical argument doesn’t exactly make sense to me; it doesn’t really hold a lot of water.”

MICHIGAN PARENT WANTS TRUMP TO ACT AFTER DAUGHTER SHARES LOCKER ROOM WITH TRANS-ATHLETE

House GOP Conference Chairwoman Lisa McClain, R-Mich., left, pictured alongside Richmond, Michigan school board member Ray Stier right. (Office of Lisa McClain)

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For his own part, Stier believes his case will refocus attention on the importance of the school board and its membership.

“My goal is to continue being an advocate for the community. One of the good things that I think came out of this was that it got so much attention that some of the community members who were unaware of the dynamics that were not being brought to light,” Stier said.  

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Political watchdog fines Newsom for failing to report $5.5M in solicited donations on time

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Political watchdog fines Newsom for failing to report .5M in solicited donations on time

California’s political watchdog commission on Thursday finalized a $31,500 fine against Gov. Gavin Newsom, alleging that the Democratic leader failed to report three dozen behested payments totaling $5.5 million mostly to support wildfire recovery by the deadline under state law.

The Political Reform Act requires elected officials to disclose payments of $5,000 or more that they solicit or direct others to give to a charitable, legislative or governmental purpose within 30 days.

The California Fair Political Practices Commission said 34 of the violations were for failing to report on time that Newsom and his staff directed outreach from companies and foundations that wanted to help after the Los Angeles wildfires to the California Fire Foundation. The nonprofit was started in 1987 by the California Professional Firefighters to support the families of fallen firefighters and communities impacted by fire.

The donations include $1 million from the Chuck Lorre Foundation and $500,000 apiece from Lockheed Martin, the Anthem Blue Cross Foundation and BlackRock, among others gifts.

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The governor also failed in 2024 to report on time two behested payments, totaling $100,000 from the Schmidt Family Foundation and Schwab Charitable Funds to the Institute for Local Government, a nonprofit within the League of California Cities.

The commission said the governor reported all of the payments “prior to public discovery” or contact from its enforcement division, which it considered a mitigating factor. Newsom also signed the stipulation and agreed to the fine.

Tara Gallegos, a spokesperson for Newsom’s office, said the issue involved late paperwork at a time when the governor’s staff was focused on emergency response and supporting survivors. She also underscored the fact that the reports were filed before he was contact by the FPPC.

Gallegos said the fine is unrelated to an alleged investigation into the governor and his wife by the Department of Justice, which Newsom announced this week.

Newsom alleged Monday that Trump is using the government as a political weapon to target him and his wife, Jennifer Siebel Newsom. Newsom announced the investigation after he learned that the FBI and Internal Revenue Service asked his associates questions about nonprofits and businesses related to the couple.

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The governor’s office characterized the investigation as a fishing expedition. The Trump administration declined to comment.

A source familiar with the matter, who requested anonymity because they were not authorized to discuss it publicly, said two federal probes have been going on for about a year, and that they originated not from Washington, D.C., but from conversations between whistleblowers and federal prosecutors based in Sacramento. The probes are linked to Newsom’s former chief-of-staff, Dana Williamson, and Siebel Newsom’s taxes, the source said.

The FPPC violations mark the second time Newsom has reported payments late, which increased his penalty for the new infractions. The commission fined Newsom in 2024 for failing to timely report 18 payments totaling $14.4 million.

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Video: Erika Kirk’s Message for Women at Turning Point USA

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Video: Erika Kirk’s Message for Women at Turning Point USA

new video loaded: Erika Kirk’s Message for Women at Turning Point USA

Our reporter Vivian Yee details what she saw at this year’s Turning Point USA Women’s Leadership Summit in San Antonio.

By Vivian Yee, Christina Shaman, Lauren Pruitt, James Surdam and Melanie Bencosme

June 18, 2026

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