The debate over Medicaid explained

Medicaid is often at the center of the health care debate. CNN's Dr. Sanjay Gupta explains why it matters.

Posted: Nov 6, 2018 11:54 PM
Updated: Nov 6, 2018 11:56 PM

Midterm voters in 37 states are deciding on more than 150 statewide ballot measures reflecting the biggest social and political issues of the moment.

Some were initiated by citizens, others by lawmakers. Questions include whether to restrict abortion funding, expand Medicaid access, or end greyhound racing in Florida.

Voters in at least four states -- Kentucky, Georgia, North Carolina and Oklahoma -- approved measures that create constitutional rights for victims of crime. And Florida voters chose to end a lifetime ban on voting for people convicted of certain felonies.

We'll be updating this story with results throughout the night.

Crime, justice and sentencing

Voters in six states -- Florida, Georgia, Kentucky, Nevada, North Carolina and Oklahoma -- considered some version of a measure often called "Marsy's Law." South Dakota passed one in June.

The proposals varied from state to state, but each would add specific protections for victims of crime to a state's constitution. Such protections include the right to be notified about hearings or the release of the accused, the right to restitution or the right to refuse an interview or deposition at the request of the accused.

Supporters of Marsy's Law say it gives victims more say in what happens in their cases. Opponents, including the American Civil Liberties Union, said victims already have these types of rights through state laws and warned that enshrining victims' rights in state constitutions creates a false equivalency between them and the rights of the accused. They warn that Marsy's Law could undermine the rights of the accused and divert resources from those in need.

Washington state's initiative 940 would change the legal standard for use of deadly force in officer-involved shootings. It would effectively lower the bar for prosecuting officers by establishing a good faith standard for opening fire.

The measure would also require law enforcement officers to receive ongoing training in violence de-escalation and how to interact with people with mental health issues. And it would establish a duty for officers to render first aid.

Ohio Issue 1 would make it a misdemeanor instead of a felony to use or possess illegal drugs such as fentanyl, heroin, methamphetamine, cocaine or LSD. And it would prohibit jail time as a sentence until an individual's third offense within 24 months.

For "noncriminal" probation violations, it calls for "a graduated series of responses, such as community service, drug treatment, or jail time."

Election policies

Ohio voters in May approved a statewide measure to establish a new redistricting system. Four more states -- Colorado, Michigan, Missouri and Utah -- decided similar measures for their state legislatures, their congressional districts, or both.

Nine states considered measures related to voting requirements and ballot access.

Maryland and Michigan voters considered whether to allow voter registration on election day. Ballots in Michigan and Nevada asked whether to allow automatic voter registration for those who interact with certain government agencies.

Voters in Arkansas and North Carolina will choose whether to require voters to present a photo ID to vote in person.

North Dakota's Measure 2 would amend the state constitution to say that "only a citizen" of the United States can vote, instead of what it currently says: "every citizen."

Florida voters passed Amendment 4, which proposed restoring voting rights for felons after they complete their sentences, including parole or probation, except for those convicted of murder or a felony sexual offense.

Montana's Ballot Collection Measure would ban people from collecting the election ballots of other people, with exceptions for certain individuals.

Louisiana Amendment 1 would prevent felons from seeking office or holding a public office until five years after the completion of their sentences.

Measures related to campaign finance, political spending and ethics were on the ballots in Colorado, Massachusetts, North Dakota and South Dakota.

Marijuana

Six measures on four state ballots concerned the legalization of recreational or medical marijuana.

Missouri had three competing measures. All of them proposed to legalize marijuana for medical purposes, but with different proposed sales tax amounts and revenue uses:

- 2% tax, with revenue to be spent on veterans' services, drug treatment, education and law enforcement

- 15% tax, with revenue to be spent on a biomedical research institute

- 4% tax, with revenue to be spent on health care services for veterans

Voters in Utah are deciding whether to legalize medical marijuana, and Michigan and North Dakota voters weighed citizen initiatives to legalize recreational marijuana.

Oklahoma voted in June to approve medical marijuana.

Abortion

Three measures in three states concerned abortion access and funding.

In Alabama and West Virginia, voters considered whether to amend their state constitutions to say that they do not protect the right to an abortion or require funding of abortions.

A "yes" vote for Alabama's Amendment 2 would also change the state constitution to say that it supports the rights of unborn children, giving them constitutional protections.

Oregon's Measure 106 would prohibit publicly funded health care programs from covering abortion. Like West Virginia's Amendment 1, the Oregon measure would prevent state taxpayer money from being used to pay for abortions for those on Medicaid.

Oregon's measure provides exceptions for when the mother suffers from a physical disorder, injury or illness that could endanger her life unless an abortion is performed, and for ectopic pregnancies.

Minimum wage

Two measures in two states proposed increasing the minimum wage to $11 by the year 2021 in Arkansas, and to $12 by 2023 in Missouri.

Medicaid expansion and health care

Four measures on four state ballots in November concerned Medicaid expansion or funding for Medicaid expansion.

Voters in Idaho, Utah and Nebraska considered whether to require their state governments to accept the Obamacare Medicaid expansion. In Montana, voters had the chance to force the state to continue accepting the expansion.

The initiatives in Montana and Utah proposed a tobacco tax increase and a sales tax increase, respectively, to provide funding for the expanded coverage. In January, Oregon voters approved a measure upholding legislation to provide funding for expanded Medicaid coverage through a tax on health insurers and revenue of certain hospitals.

Other health care-related measures included two propositions in California: one authorizing $1.5 billion in bonds to upgrade children's hospitals in the state and another affecting operations in dialysis clinics.

A "yes" vote for Massachusetts Question 1 supports an initiative to establish patient assignment limits for registered nurses in hospitals.

In Nevada, Question 2 would amend the Sales and Use Tax Act of 1955 to remove taxes on feminine hygiene products, also known as the pink tax.

More to watch

Florida's Amendment 13 creates a prohibition on racing or betting on greyhounds or other dogs by 2020. Nearly 70% of voters

Massachusetts Question 3 asked voters if they want to keep a state law prohibiting discrimination against transgender people in public places.

A "yes" vote for Alabama's Amendment 1 would add language to the state constitution authorizing the display of the Ten Commandments on state and public property, including schools, and prohibit spending public funds to defend the constitutionality of the amendment.

California's Proposition 6 would repeal fuel and vehicle taxes passed by the legislature in 2017 for road repairs and public transportation.

Indiana Coronavirus Cases

Data is updated nightly.

Confirmed Cases: 155246

Reported Deaths: 4065
CountyConfirmedDeaths
Marion25151785
Lake13570355
St. Joseph9145161
Elkhart8759135
Allen8129228
Hamilton6117113
Vanderburgh576760
Tippecanoe369515
Hendricks3268133
Monroe325738
Porter313649
Johnson3105128
Clark293961
Delaware293274
Vigo260538
Madison235093
Cass224022
LaPorte222858
Warrick192965
Kosciusko182625
Floyd179167
Howard162466
Bartholomew141558
Dubois138626
Marshall137426
Wayne126930
Henry125429
Grant125339
Boone122250
Hancock118245
Noble115933
Jackson112915
Dearborn94928
Morgan93740
Lawrence87436
Daviess87133
Gibson87111
Clinton84716
Shelby81730
LaGrange80115
Harrison76224
Knox75610
Putnam72816
Posey7146
DeKalb71011
Fayette66618
Steuben6278
Miami6095
Jasper5945
White58515
Montgomery58322
Greene53337
Scott51813
Decatur50439
Adams4837
Whitley4556
Clay4467
Ripley4418
Sullivan43714
Wells4288
Wabash4119
Starke4077
Orange40425
Huntington3905
Spencer3906
Washington3753
Franklin37225
Jennings36713
Fulton3523
Randolph3529
Jefferson3415
Pike33018
Carroll32513
Perry31014
Jay3056
Fountain2943
Tipton27523
Vermillion2411
Parke2323
Newton22511
Rush2154
Blackford2093
Owen2051
Martin1990
Crawford1581
Pulaski1521
Brown1393
Ohio1297
Benton1100
Union1100
Switzerland920
Warren781
Unassigned0234

Ohio Coronavirus Cases

Data is updated nightly.

Confirmed Cases: 190430

Reported Deaths: 5161
CountyConfirmedDeaths
Franklin31466640
Cuyahoga19706682
Hamilton16687343
Montgomery10377189
Lucas8285373
Butler8276129
Summit6689265
Warren420064
Stark3796181
Mahoning3709286
Marion338850
Pickaway301146
Delaware287227
Lorain272889
Fairfield264457
Licking257966
Wood249681
Clark249456
Clermont245938
Greene229242
Trumbull2270134
Allen213073
Columbiana212887
Miami199958
Lake193659
Medina185642
Portage162068
Mercer152128
Wayne140269
Ross139436
Richland132324
Tuscarawas129024
Athens12052
Erie115553
Darke114451
Madison105415
Hancock104725
Auglaize100616
Putnam97427
Lawrence93025
Shelby90914
Muskingum8884
Geauga85950
Scioto8599
Belmont78827
Union7583
Ashtabula72648
Sandusky71122
Huron70912
Preble62418
Holmes61710
Seneca60114
Ottawa58430
Fulton53711
Henry47317
Jefferson4694
Clinton46413
Defiance46013
Jackson4598
Crawford4528
Fayette4498
Highland4304
Logan4233
Ashland3986
Champaign3983
Knox38416
Brown3793
Perry36611
Washington35124
Morrow3442
Hardin33613
Williams3354
Coshocton32112
Guernsey3218
Pike3000
Wyandot29513
Gallia29113
Van Wert2633
Meigs21012
Adams2096
Paulding2012
Carroll2007
Hocking1979
Monroe16118
Noble1290
Vinton963
Harrison803
Morgan780
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