In spite of having two senators (McConnell and Paul) opposed to the Affordable Care Act, the state of Kentucky seems to be making a good start at signing up people for Medicaid and Exchange-based health insurance policies.
Kentucky "is far ahead of most of the nation in signing up people: As of Nov. 1, more than 27,854 Kentuckians had enrolled in Medicaid under the law’s expansion of that program, and 4,631 had signed up for private plans through the state-run exchange, known as Kynect. The state says it is enrolling 1,000 people a day."
How has the state done it? "While most states lack enough navigators to reach all who need help, Kentucky is spending $11 million in federal money to promote its exchange, and it shows: Ads for Kynect blanket television and radio, city buses and highway billboards in Louisville."
And (lucky them) they have a Democratic governor actively promoting the state effort to sign people up. Here's the full story.