Rep. Espaillat’s February 18th town hall meeting in Washington Heights drew an overflow crowd. The line of snaked around the corner. First-term Congressman Espaillat (D-NY), a Dominican-born immigrant, represents New York’s 13th Congressional District, one of the nation’s poorest. The Affordable Care Act has enabled many constituents to get health insurance coverage for themselves, their kids and even adult children (through age 28). Importantly, many gained health insurance through the ACA’s expansion of Medicaid. Changes proposed by Republicans and the new Administration threaten as many as 20% of the district’s residents, according to one estimate.