With access to health care on the line for 90,000 Nebraskans, OTOC leaders worked hard to expand Medicaid for those with no health insurance. After efforts to secure enough votes to overcome a filibuster in the Nebraska Unicameral proved unsuccessful, OTOC partnered with allies in 2018 to secure a place on the November Midterm ballot for 'Initiative 427' as a way to secure Medicaid Expansion in Nebraska. On November 6, 2018, the effort succeeded.
