Notices of rising health insurance premiums are landing in voters’ mailboxes and sending some to town halls to vent their frustration.

More employers are putting health insurance decisions in the hands of workers.

President Donald Trump is still trying to overturn Obamacare, but his predecessor's health care law keeps gaining ground in places where it was once unwelcome. Missouri voters this week approved Medicaid expansion by a 53% to 47% margin, making the conservative state the seventh to do so under Trump. The six states where voters have approved Medicaid expansion in the Trump years are Idaho, Maine, Missouri, Nebraska, Oklahoma and Utah. In Virginia, the legislature passed a Medicaid expansion after Democrats made political gains. In Missouri, support for Medicaid expansion in cities and suburbs overcame opposition in rural communities.