Medicaid is more than you think. The program benefits more Americans and influences more voters than political conventional wisdom would have you believe.

Medicaid has become an issue of growing political salience at both the state and federal level. This white paper is an effort to quantify the new impact of Medicaid, state by state and district by district.

Medicaid benefits working Americans. Nearly 60 percent of adults with Medicaid coverage work. Nearly half of them work for small businesses with fewer than 50 employees. The vast majority of those who are not working have reasons for not working, such as sickness or disability. Nearly two-thirds of older and disabled Americans rely on Medicaid to help pay for nursing homes and care, so that family members need not choose between being a caregiver or continuing to work.

This white paper traces the bipartisan underpinnings of Medicaid. At the Federal level, it explores the bipartisan support Medicaid has garnered by Members of Congress from its creation in 1965, through its extension to children in 1997, to efforts to expand coverage via waivers in the 2000s. At the state level, this white paper tracks the last two years of Medicaid’s electoral history in four states: Kentucky, Louisiana, Virginia, and Oklahoma.

This white paper provides data about the number of persons in each state and Congressional District enrolled in Medicaid and CHIP, as well as the estimated number of Americans in each state and Congressional District who have benefited from Medicaid expansion under the Affordable Care Act.

Read the report here.