Medicaid Expansion Map

Hover over the legend to see expansion status and over non-participating states to see the impact of not expanding Medicaid eligibility. 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. Also see our Medicaid Expansion resource page.

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Wyoming

Not expanding.

Number of people in coverage gap: 14,000

West Virginia

Expanding Medicaid

Wisconsin

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

Washington

Expanding Medicaid

Vermont

Expanding Medicaid

Virginia

Medicaid expansion under discussion.

Number of people in coverage gap: 171,000

Utah

Medicaid expansion under discussion.

Number of people in coverage gap: 30,000

Texas

Not Expanding Medicaid

Number of people in coverage gap: 948,000

Tennessee

Not expanding.

Number of people in coverage gap: 142,000

South Dakota

Medicaid expansion under discussion.

Number of people in coverage gap: 25,480

South Carolina

Not Expanding Medicaid

Number of people in coverage gap: 178,000

Rhode Island

Expanding Medicaid

Pennsylvania

Expanding Medicaid

Oregon

Expanding Medicaid

Oklahoma

Not Expanding Medicaid

Number of people in coverage gap: 104,000

Ohio

Expanding Medicaid

New York

Expanding Medicaid

Nevada

Expanding Medicaid

New Mexico

Expanding Medicaid

New Jersey

Expanding Medicaid

New Hampshire

Approved Customized Medicaid Expansion

Nebraska

Not Expanding Medicaid

Number of people in coverage gap: 31,000

North Dakota

Expanding Medicaid

North Carolina

Not Expanding Medicaid

Number of people in coverage gap: 357,000

Montana

Customized Medicaid expansion.

 

Mississippi

Not Expanding Medicaid

Number of people in coverage gap: 107,000

Missouri

Not expanding Medicaid.

Number of people in coverage gap: 147,000

Minnesota

Expanding Medicaid

Michigan

Customized Medicaid Expansion.

Maine

Not Expanding Medicaid

Number of people in coverage gap: 22,000

Maryland

Expanding Medicaid

Massachusetts

Expanding Medicaid

Louisiana

Expanding Medicaid.

Kentucky

Expanding Medicaid

Kansas

Not Expanding Medicaid

Number of people in coverage gap: 60,000

Indiana

Customized Medicaid Expansion.

 

Illinois

Expanding Medicaid

Idaho

Not expanding Medicaid.

Number of people in coverage gap: 51,000

Iowa

Customized Medicaid Expansion

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

Arizona

Expanding Medicaid

Arkansas

Customized Medicaid Expansion

Alabama

Medicaid expansion under discussion.

Number of people in coverage gap: 176,000

Alaska

Expanding Medicaid

 

* Adults in Wisconsin are eligible for Medicaid up to 100% of the federal poverty level.

Notes: 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).