Pinned Tweet
It's been two years since I was discharged from a nearly month-long hospitalization after a frightening and life-threatening medical scare brought a whole new meaning to spooky season. 🧵🎃🫁
“‘The number one issue has been health care – Medicaid expansion. That's the number one issue; that's the number two issue,’ [Rep. Hugely] said. ‘We have to get that done.’”
11alive.com/article/news/pol…
Loving this books angle reporting on Scott Colom’s senate campaign
Building state power to pass policies like Medicaid expansion
Major win for the DGA and @KansasDems who were very keen on winning this one to continue building state power
newsweek.com/when-it-comes-t…
Mike Naple retweeted
If there's one shift that sums up 2026, it's Kansas's Golden Triangle of meatpacking (Liberal, Dodge City, Garden City, 61% Hispanic), focus of sweeping ICE operations in September:
2024: Trump 15,915 (68%), Harris 7,240 (31%)
2026: Marshall 9,537 (46%), Hamilton 10,411 (51%)
Medicaid expansion has re-entered the chat thanks to voters electing Democrats to governor’s offices and flipped some legislative chambers in GA, KS, TX, & WI.
Republicans in these four states have intentionally blocked full Medicaid expansion.
stateline.org/2026/11/06/dem…
These states are among the 10 that have yet to adopt full MedEx: AL, FL, MS, SC, TN, and WY are the remaining six.
Also, this week voters in South Dakota rejected a ballot measure to add a trigger law to its MedEx program. SD voters approved its MedEx ballot measure in 2022.
Twelve states currently have MedEx trigger laws on the books.
americanprogress.org/article…
Mike Naple retweeted
Thank you @AnnieAndrewsMD for having the courage to stand up for science and for being one of the few elected officials willing to take action.
Senator-Elect Annie Andrews: I want to hold RFK Jr. accountable for the damage that he has done to America’s public health system. He is the reason that Spartanburg County, South Carolina had a measles outbreak just last year. He has done grave damage to trust in the public health system in America and he needs to be held accountable, and I think no one is better prepared to do that than me — a pediatrician with 20 years of experience practicing.
Mike Naple retweeted
HHS is like a hijacked plane. Career scientists silenced by clout and money chasing operatives focused on retribution. AI bot-style CDC director smiling on the outside while being complicit in the demise of public health. We need guardrails to build a new public health—Congress can do that.
At 62%, CA-22 has the highest Medicaid enrollment of any GOP-held seat in the country. This was a big flip for Democrats.
I imagine Villegas will be on the frontlines in the fight to reverse the Medicaid cuts.
And he and other members should take big swings on health care.













