Fewer patients are uninsured because of the Affordable Care Act's expansion of Medicaid and its mandate that everyone have insurance or pay a penalty. Also, in the 1990s, the state began a fund to help subsidize trauma centers, giving them some of the money collected from moving violations, drunken driving convictions, illegal use of firearms and drug convictions. The state distributes about $4 million to $5 million a year to trauma centers across the state from that fund.