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 Roanoke Valley home sale average price tops $400,000 for first time Evan Jones August 25, 2025 1 min read Good Samaritan Hospice to expand services and reach Denise Membreno August 25, 2025 1 min read The changing landscape of college football Denise Membreno August 22, 2025