Kentucky is Ground Zero for the ongoing partisan fight over the Affordable Care Act.
When the ACA was first implemented in 2014, Kentucky, led by Democratic Gov. Steve Beshear, enthusiastically set up its own insurance marketplace and embraced the (nearly entirely) federally funded Medicaid expansion.
However, power switched hands at the beginning of 2015, with Republican Gov. Matt Bevin taking office after a campaign in which he railed against the ACA. His administration is currently in the process of closing the state-run exchange, KyConnect, and it is embroiled in a fierce battle with Democrats over what to do about the state’s Medicaid expansion.
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