The biggest obstacle a Richmond, Ind., hospital has had in signing up low-income Hoosiers for Indiana's expanded Medicaid program is convincing them it's real. "These are people who have never had this type of coverage before," said Chris Knight, the chief financial officer and vice president of Reid Health. "We have had very touching stories where people just break down and cry when they're given this coverage." As Indiana enters its second year of expanded Medicaid coverage created by the Affordable Care Act, hospitals around the state report it has helped patients gain needed coverage.