Louisiana is the only state in the Deep South to have expanded Medicaid under the ACA. As one of the nation’s poorest states, it had more to gain than most. Harvard’s Benjamin Sommers, M.D., and Carrie E. Fry share survey results that show how expanded Medicaid coverage improved access to care in the state. The authors say proposed cuts to state Medicaid funding in both the House and Senate health care bills would undermine the benefits of expansion in Louisiana and elsewhere.