States, particularly Idaho, are aggressively pursuing proposals to roll back or entirely repeal Medicaid expansion, which could jeopardize health insurance for millions of Americans. Recent legislative actions in Idaho have seen bills advance through committees despite significant public opposition. Advocates for Medicaid expansion argue that such rollbacks would result in severe consequences, including loss of coverage for vulnerable populations and adverse effects on local economies. The potential elimination of federal match rates for Medicaid expansion funding is adding to the urgency of the debate, as estimates suggest substantial cuts could reduce total Medicaid spending and leave millions uninsured. As partisan divides deepen, the situation raises concerns about health care access and affordability for many families across the nation.