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Building momentum for closing the coverage gap


Alabama Arise and the Cover Alabama coalition have built powerful momentum to expand Medicaid and close the state’s health coverage gap in recent months.

Arise held a news conference with our partners at the March of Dimes and Alabama Rural Health Association during our annual Legislative Day in April. The event highlighted how Medicaid expansion could improve infant and mortality rates in our state and keep rural hospitals open. More than 230 individuals from across the state attended and spoke up in support of the nearly 300,000 Alabamians who need health coverage.

In another encouraging development, the House and Senate Health Committees held a joint meeting in late April to hear from other states about their efforts to close the health coverage gap. This hearing was a platform for legislators and experts to explore potential solutions, drawing insights from successful initiatives in Arkansas and North Carolina.

A woman speaks while standing at a podium with several people behind her.
Alabama Arise’s Cover Alabama campaign director Debbie Smith speaks during Arise Legislative Day on April 2, 2024, at the State House in Montgomery.

‘Their loved one is now getting help’

Key figures from North Carolina, such as state Sen. Jim Burgin, shared their state’s journey in closing the coverage gap. Burgin, a vocal opponent of Medicaid expansion in the past, highlighted the overwhelming gratitude from individuals receiving assistance.

“I live in a very rural and very conservative area,” Burgin said during the hearing. “I have not had one person that has come up to me and told me, ‘Jim, you shouldn’t have done that, and we’re against you for doing that.’ But I’ve had hundreds of people come up to me and thank me because their loved one is now getting help.”

The meeting seemed to drive a shift in attitudes among some conservative legislators. Many have expressed an openness to exploring avenues for closing the coverage gap.

Meanwhile, we also celebrated the progress that Mississippi made in its efforts to close the coverage gap. In February, the Mississippi House voted 99-20 to expand Medicaid. While that bill ultimately did not pass in the Senate, Mississippi made incredible progress by bringing conservative lawmakers on board and making Medicaid expansion a hot topic in the state. Alabama legislators took notice, and Mississippi’s progress will put pressure on our legislators to move forward as well.

Looking forward

In the coming months, Cover Alabama will continue to beat the drum in support of Medicaid expansion. We are so grateful for your continued support. Together, we are making significant strides toward Medicaid expansion in Alabama.

Let’s continue to raise our voices, engage with lawmakers and advocate for equitable health care access for every Alabamian.