Medicaid Expansion Map

Hover over 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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Alaska

Expanding Medicaid

 

Alabama

Not expanding.

Number of people in coverage gap: 176,000

Arkansas

Customized Medicaid Expansion

Arizona

Expanding Medicaid

California

Expanding Medicaid

Colorado

Expanding Medicaid

Connecticut

Expanding Medicaid

District of Columbia

Expanding Medicaid

Delaware

Expanding Medicaid

Florida

Not Expanding Medicaid.

Number of people in coverage gap: 669,000

Georgia

Not Expanding Medicaid

Number of people in coverage gap: 282,000

Hawaii

Expanding Medicaid

Iowa

Customized Medicaid Expansion

Idaho

Medicaid expansion under discussion.

Number of people in coverage gap: 51,000

Illinois

Expanding Medicaid

Indiana

Customized Medicaid Expansion.

 

Kansas

Not Expanding Medicaid

Number of people in coverage gap: 60,000

Kentucky

Expanding Medicaid

Louisiana

Not Expanding Medicaid.

Number of people in coverage gap: 166,000

Massachusetts

Expanding Medicaid

Maryland

Expanding Medicaid

Maine

Not Expanding Medicaid

Number of people in coverage gap: 22,000

Michigan

Customized Medicaid Expansion.

Minnesota

Expanding Medicaid

Missouri

Medicaid expansion under discussion.

Number of people in coverage gap: 147,000

Mississippi

Not Expanding Medicaid

Number of people in coverage gap: 107,000

Montana

Customized Medicaid expansion.

 

North Carolina

Not Expanding Medicaid

Number of people in coverage gap: 357,000

North Dakota

Expanding Medicaid

Nebraska

Not Expanding Medicaid

Number of people in coverage gap: 31,000

New Hampshire

Customized Medicaid Expansion

New Jersey

Expanding Medicaid

New Mexico

Expanding Medicaid

Nevada

Expanding Medicaid

New York

Expanding Medicaid

Ohio

Expanding Medicaid

Oklahoma

Not Expanding Medicaid

Number of people in coverage gap: 104,000

Oregon

Expanding Medicaid

Pennsylvania

Customized Medicaid Expansion

Rhode Island

Expanding Medicaid

South Carolina

Not Expanding Medicaid

Number of people in coverage gap: 178,000

South Dakota

Not Expanding Medicaid

Number of people in coverage gap: 25,480

Tennessee

Not expanding.

Number of people in coverage gap: 142,000

Texas

Not Expanding Medicaid

Number of people in coverage gap: 948,000

Utah

Medicaid expansion under discussion.

Number of people in coverage gap: 30,000

Virginia

Medicaid expansion under discussion.

Number of people in coverage gap: 171,000

Vermont

Expanding Medicaid

Washington

Expanding Medicaid

Wisconsin

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

West Virginia

Expanding Medicaid

Wyoming

Not expanding.

Number of people in coverage gap: 14,000

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

**Montana has passed legislation to expand Medicaid and is preparing to submit its 1115 waiver proposal to the federal government. 

Notes: CMS has approved waivers for expansion with variation in Arkansas, Indiana, Iowa, Michigan, New Hampshire, and Pennsylvania. Pennsylvania is in the process of transitioning from its customized Medicaid expansion program, “Healthy Pennsylvania,” to traditional Medicaid expansion. 

Source for map: Avalere State Reform Insights; Center of Budget and Policy Priorities; Politico.com; Commonwealth Fund analysis.

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).