Medicaid expansion in 2019 has biggest impact in rural regions, small towns Gene Marrano September 28, 2018 1 minute 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: Share: Post navigation Previous: Child safety seat check tomorrow at Valley ViewNext: GOP Senate candidate Corey Stewart live interview Related Stories Virginia Tech secures record $75 million gift for athletics and academics Web Staff June 8, 2026 Olde Salem Brewing Company launches food service at downtown Roanoke location Clark Palmer June 5, 2026 Roanoke-Blacksburg Regional Airport launches daily nonstop service to Dallas-Fort Worth Web Staff June 5, 2026