The benefits of the Medicaid expansion go well beyond the more than 1 million Ohioans who have received health coverage through the program. The state as a whole has been helped in the form of additional economic activity, income and jobs.

That is the conclusion of an analysis released this week by Policy Matters Ohio. The Cleveland-based think tank examined what the impact would be on the state economy in the new year — with and without the expansion. The former is far preferable. The analysis found that the continued expansion would result in an additional 54,000 full-time and part-time jobs. It would mean an increase of $2.7 billion in disposable personal income, and a difference of $3 billion added to the state gross domestic product.

The expansion also would bring higher wage and salary earnings, especially in the health care sector, not surprisingly. Yet other leading beneficiaries include those in construction and retail. How does that happen? The multiplier effect applies, the roughly $4 billion in federal money per year circulating through local economies, bringing a positive outcome for businesses and individuals.

Another way to see the effect starts with a telling number: Six of the state’s 10 largest job categories, such as janitorial, food service and hospitality, pay so little that workers often qualify for Medicaid. Once those employees are covered, dollars flow to more than health care services. Family budgets are less burdened, allowing for spending elsewhere.

Worth stressing, too, is that health care isn’t just a large employer in Akron and other metropolitan areas. The sector is key in small towns and rural areas, where Medicaid expansion dollars bolster its presence.

The Policy Matters analysis reinforces what already is known about the expansion. It results in improved health, those gaining coverage, for instance, in a better position to treat chronic conditions. The expansion leads to fewer visits to more costly emergency rooms, not to mention hospitalizations. It has meant greater access to mental health care and addiction treatment.

Research shows the expansion has helped recipients in pursuing and keeping jobs.

The expansion also is affordable with the federal government picking up 90 percent of the cost. Actually, as Policy Matters points out, the state share, in view of how the program here is structured, would be 3.2 percent, or a projected $163 million in 2021, roughly $300 per person. That is a fraction of the tax cuts the Republican legislative majorities have delivered to wealthy households.

All of this matters in view of the opposition to the expansion still apparent among Republican lawmakers. During the primary season, Mike DeWine, now governor-elect, was one of the opponents, describing the expansion as not sustainable. As November got closer, he changed his mind. Now he supports the expansion — with the condition of adding a work requirement.

Worth keeping in mind is that 60 percent of working-age recipients already work, and most who aren’t working have a good reason. They are disabled, or caring for a relative, or attending school. What is required to identify the relative few who somehow may be gaming the system? Don’t underestimate the additional bureaucracy, or cost, in tracking and documenting their activity.

What Ohio doesn’t need are steps that diminish the good work of the Medicaid expansion in adding to the economy and improving the quality of lives.