Status of Medicaid Expansion and Work Requirement Waivers

Hover over the legend to see which states have expanded, used a 1115 waiver to expand, and/or have 1115 waiver proposals with work requirements under discussion, submitted, or approved. Hover over a state to see the status of a waiver proposal or the impact of not expanding.

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Wyoming

Not Expanding Medicaid.

Number of people in coverage gap: 14,000

West Virginia

Expanded Medicaid

Wisconsin

Not expanded, but adults in Wisconsin are eligible for Medicaid up to 100% of the federal poverty level.

Washington

Expanded Medicaid

Vermont

Expanded Medicaid

Virginia

1115 work requirement waiver under state consideration

Utah

Work requirement waiver submitted

Texas

Not Expanding Medicaid

Number of people in coverage gap: 948,000

Tennessee

Not Expanding Medicaid.

Number of people in coverage gap: 142,000

South Dakota

1115 work requirement waiver under state consideration

South Carolina

1115 work requirement waiver under state consideration

Rhode Island

Expanded

Pennsylvania

Expanded

Oregon

Expanded Medicaid

Oklahoma

Not Expanding Medicaid

Number of people in coverage gap: 104,000

Ohio

Expanded Medicaid

New York

Expanded Medicaid

Nevada

Expanded Medicaid

New Mexico

Expanded Medicaid

New Jersey

Expanded Medicaid

New Hampshire

1115 expansion waiver

Nebraska

Not Expanding Medicaid

Number of people in coverage gap: 31,000

North Dakota

Expanded Medicaid

North Carolina

Not yet expanded

Montana

1115 expansion waiver

 

Mississippi

Not yet expanded

Missouri

Not yet expanded.

Minnesota

Expanded Medicaid

Michigan

Customized Medicaid Expansion.

Maryland

Expanding Medicaid

Massachusetts

Expanding Medicaid

Louisiana

Expanding Medicaid.

Kentucky

Expanding Medicaid

Kansas

 

Indiana

 

Illinois

Expanding Medicaid

Idaho

Not expanding Medicaid.

Number of people in coverage gap: 51,000

Iowa

 

Hawaii

Expanding Medicaid

Georgia

Not Expanding Medicaid

Number of people in coverage gap: 282,000

Florida

Not Expanding Medicaid.

Number of people in coverage gap: 669,000

Delaware

Expanding Medicaid

District of Columbia

Expanding Medicaid

Connecticut

Expanding Medicaid

Colorado

Expanding Medicaid

California

Expanding Medicaid

Arkansas

Customized Medicaid Expansion

Alaska

Expanding Medicaid

 

Note: Adults in Wisconsin are eligible for Medicaid up to 100% of federal poverty. In Maine, a ballot initiative to expand Medicaid passed in 2017, but no expansion has been implemented to date.

CMS has approved waivers for expansion with variation in Arkansas, Indiana, Iowa, Michigan, Montana, New Hampshire, and Pennsylvania. Pennsylvania has transitioned from its customized Medicaid expansion program, “Healthy Pennsylvania,” to traditional Medicaid expansion. 

Source for coverage gap and federal funds data: Kaiser Family Foundation, State Health Facts; S. Glied and S. Ma, How States Stand to Gain or Lose Federal Funds by Opting In or Out of the Medicaid Expansion (New York: The Commonwealth Fund, Dec. 2013). The loss of funds takes into account tax revenues in each state that support the Medicaid expansion and the net loss of federal funds in 2022 in states that choose not to participate, assuming all other states expand

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