A longtime staunch opponent of the Affordable Care Act decided to support expanding Medicaid in his state this week, adding to the list of conservatives who are having a change of heart on the issue, as advocates (as well as hospitals and other industry forces) continue to lobby hard for states to take full advantage of the federal funding provided in the ACA. At the same time, lawmakers from states including Mississippi continued their efforts to push for expansion as well. As full enactment of the law draws closer and closer, progressive lawmakers are growing bolder in their advocacy for full implementation of the ACA, and events this week signaled a clear shift in the political terrain in favor of supporters of health reform: