"These findings show the effects of state policies that are designed to stand in the way of health reform. These restrictive policies are measurably impairing community-level efforts to cover the uninsured," said Sara Rosenbaum, JD, the Harold and Jane Hirsh Professor of Health Law and Policy at SPHHS and a study co-author. "Without the Medicaid expansion or comprehensive enrollment assistance, millions of people in medically underserved communities could go without the benefits provided under the Affordable Care Act."