America Can’t Recover if the South Isn’t Covered


The Southerners for Medicaid Expansion continues to urge federal leaders to take immediate action to expand healthcare coverage to nearly seven million people across the South.

The following statement released on August 16, 2022 comes in response to news that the Inflation Reduction Act of 2022 signed by President Biden does not include a provision to close the Medicaid coverage gap. 

"The Inflation Reduction Act represents a major investment in health care—but it leaves the poorest Americans behind. We applaud President Biden and Congress for lowering drug prices and keeping health plans affordable on the ACA marketplace, particularly for people with incomes just above the poverty line. However, this legislation offers little for the 2.2 million Americans in the Medicaid coverage gap who can’t afford health plans or get a prescription in the first place.

By leaving out a federal fix to the Medicaid coverage gap in this bill, Congress has squandered an opportunity to deliver health coverage to our people in the coverage gap—most of them Black and brown, living across the South. These Americans have been waiting for decades to access basic, affordable, and reliable health insurance. We remain a nation where the health of our loved ones will be determined by their zip codes, their ages, and the little money they have in their bank accounts

We are deeply grateful to the Congressional leaders who tirelessly championed a federal fix to the Medicaid coverage gap in this legislation, every step of the way.

We are not finished. Our coalition remains determined to close the Medicaid coverage gap. We will continue to fight alongside our Congressional champions to find a solution for our communities, and in our state Capitols. We will continue to educate, mobilize, and amplify those left behind in the Medicaid coverage gap. We will continue working together to build a healthcare system that serves everyone.

We call on Congressional leaders, President Biden, and partners across the nation to join us."

Read our past Letters
  • February 12, 2021
    • Urging Congress to take immediate action to expand healthcare coverage. Southern states are battling COVID-19 on sinking ground.
  • June 24, 2021
    • Urging Congress to pursue a direct coverage option for low-income individuals in non-expansion states in the forthcoming recovery legislation.
  • September 10, 2021
    • Urging Congress to ensure the Build Back Better reconciliation bill includes a coverage gap policy solution that is comprehensive and permanent.
  • September 17, 2021
    • Urging Democratic Senators to prioritize the permanent and comprehensive Medicaid “coverage gap” policy outlined in the House Energy and Commerce Committee reconciliation bill.
  • October 19, 2021
    • Urging Congress to secure progressive investments in Build Back Better legislation to close the federal Medicaid coverage gap.
  • December 21, 2021
    • Urging Congress to work to ensure any final BBB package includes the federal coverage gap fix.
  • May 18, 2022
    • Urging Majority Leader Schumer to close the Medicaid coverage gap as a necessary step for economic and racial justice.
  • May 19, 2022
    • Urging Speaker Pelosi to ensure moves a fix to the Medicaid coverage together with an extension of enhanced APTCs.
  • July 11, 2022
    • Statement: In the wake of the Dobbs decision, the need to close the Medicaid coverage gap is greater than ever.
  • July 12, 2022
    • Letter: In the wake of the Dobbs decision, Congress must take immediate action to ensure all women and birthing people across this country have at minimum access to basic health care.
  • July 28, 2022
    • Statement: Responding to the Inflation Reduction Act of 2022, which does not include a provision to close the Medicaid coverage gap.
  • August 3, 2022
    • Letter: VOTE YES on Warnock Coverage Gap Amendment to the Inflation Reduction Act of 2022.
  • August 16, 2022
    • Statement: In response to the President's signing of the Inflation Reduction Act.
Take Action

Contact Your Officials

Our communities have suffered far too long in the coverage gap. They are parents and youth, cooks and teachers, caretakers and essential workers. For too many, this is a matter of life and death. The White House included a coverage gap fix through 2025 in the Build Back Better framework - now we need to raise our voices to ensure the coverage gap fix becomes law. Contact your member of Congress now!


Click below to send a tweet to the President & Congressional leaders demanding that they provide a coverage solution now!