Take the fight to voters and statehouses via ballot measures and state affordability reforms.
Use ballot measures and state reforms to enact affordability rules where federal action stalls. Campaigns can target approaches already described here—caps on hospital prices, state public options, drug price review boards, Medicaid expansions, and insurance rate caps—while planning for implementation and legal defense. Treat this route as a durable way to create tangible state wins and build momentum for federal change.
Why this works
- State-level action can make tangible differences for millions and build momentum for federal action.
- Ballot measures bypass legislatures captured by industry interests, appealing directly to voters (who have shown willingness to approve measures like Medicaid expansion in conservative states).
RepresentUs
AdvocacyUniting across parties to pass anti-corruption laws
Mechanism
About Ballot MeasuresHow RepresentUs uses funding
- Draft and file measure text (or state reform language) under applicable state rules.
- Gather signatures to qualify where needed and plan for verification and procedural challenges.
- Run the public campaign with outreach, persuasion, and coalition coordination.
- Support implementation and defense after passage so results materialize.
- Publish milestone updates so supporters can track progress and gaps.
Milestones
Checkpoints and the expected timing for each step
- 1
Target states + draft language ready
0–30 daysDrafts and process calendars are set with coalition roles defined.
- 2
Qualification and campaign infrastructure launched
1–3 monthsSignature/qualification plans and persuasion operations are active.
- 3
Persuasion push scaled
3–6 monthsOutreach and coalition coordination operate at campaign scale through key windows.
- 4
Post-win implementation and defense
OngoingImplementation guidance and legal defense posture are ready and tracked after passage.