Two guys from the tiny town of Sandpoint, Idaho, are trying to do what their political leaders wont: Provide health coverage to tens of thousands of low-income Idahoans.

Through a political action committee they founded called Reclaim Idaho , Luke Mayville and Garrett Strizich, both 32, are traveling the state collecting signatures to put the question of whether to expand Medicaid under the Affordable Care Act before the voters.

If I can, I want to make a difference where I grew up, because where I grew up has been overtaken by similar kinds of politics that seem to be taking over the country, Mayville told HuffPost. So I want to do something to push back against that.

The Idaho effort is one of several in conservative-leaning states seeking to duplicate what activists in Maine achieved last November through a ballot initiative to expand Medicaid in that state.

Advocates in Nebraska and Utah also are working to gather signatures to put Medicaid expansion on the ballot, and a retiree in Missouri has taken up the cause for a long-shot bid to do so as well.

These campaigns to expand health coverage using funding the Affordable Care Act provides come at a time when President Donald Trump and the GOP -led Congress are busy rolling back other parts of the 2010 law and implementing changes to Medicaid policy that make it harder for low-income people to get and keep health benefits.

Maine really motivated myself to look into the ballot route, Nebraska state Sen. Adam Morfeld said.

He and other Nebraska legislators have tried advancing Medicaid expansion through legislative channels for years, and are trying again this year .

But Morfeld said hes also working with private organizations to get the issue on the ballot this November. The Nebraska legislature consists of a single chamber and is technically nonpartisan, but Morfeld, a Democrat , is effectively in the minority.

Expanding Medicaid could benefit 90,000 Nebraskans, Morfeld said. They have to gather signatures representing 10 percent of the states registered voters about 120,000 people and submit them by July 6, according to Nebraska law .

The Affordable Care Act called for Medicaid to become available to anyone with an income below 133 percent of the federal poverty level , which is about $16,000 for a single person.

A 2012 Supreme Court ruling made this policy optional for states, however, and 18 states have declined to participate. Nationwide, almost 2.5 million people who would qualify for Medicaid under this policy are uninsured, according to the Henry J. Kaiser Family Foundation.

In Idaho, Mayville, Strizich and his wife, Emily Strizich, are traveling around the state in a camper van the Strizichs bought last year for $1,500, which theyve decorated with the campaigns name and dubbed the Medicaid Mobile.