Medicaid expansion in 2019 has biggest impact in rural regions, small towns Gene Marrano September 28, 2018 1 min read A report on the impact that Medicaid expansion will have in the Commonwealth finds that its most dramatic effects will be found in small towns and rural regions. More from WFIR’s Gene Marrano: About the Author Gene Marrano Editor View All Posts Share: Continue Reading Previous: Child safety seat check tomorrow at Valley ViewNext: GOP Senate candidate Corey Stewart live interview Related Stories 1 min read National Night Out events Denise Membreno August 4, 2025 1 min read Hope and Home task force latest attempt to address homelessness in Roanoke Gene Marrano August 4, 2025 1 min read Teen arrested after fatal shooting in Southwest Roanoke City Web Staff August 4, 2025