Medicaid Expansion

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.

Alaska

Not expanding.

Number of people in the coverage gap: 17,290

Alabama

Not expanding.

Number of people in coverage gap: 191,320

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: 763,890

Georgia

Not Expanding Medicaid

Number of people in coverage gap: 409,350

Hawaii

Expanding Medicaid

Iowa

Customized Medicaid Expansion

Idaho

Not Expanding Medicaid

Number of people in the coverage gap: 54,780

Illinois

Expanding Medicaid

Indiana

Customized Medicaid Expansion

 

Kansas

Not Expanding Medicaid

Number of people in coverage gap: 77,920

Kentucky

Expanding Medicaid

Louisiana

Not Expanding Medicaid.

Number of people in coverage gap: 242,150

Massachusetts

Expanding Medicaid

Maryland

Expanding Medicaid

Maine

Not Expanding Medicaid

Number of people in coverage gap: 24,390

Michigan

Customized Medicaid Expansion.

Minnesota

Expanding Medicaid

Missouri

Not Expanding Medicaid

Number of people in coverage gap: 193,420

Mississippi

Not Expanding Medicaid

Number of people in coverage gap: 137,800

Montana

Not Expanding Medicaid

Number of people in coverage gap: 40,140

North Carolina

Not Expanding Medicaid

Number of people in coverage gap: 318,710

North Dakota

Expanding Medicaid

Nebraska

Not Expanding Medicaid

Number of people in coverage gap: 32,570

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: 144,480

Oregon

Expanding Medicaid

Pennsylvania

Customized Medicaid Expansion

Rhode Island

Expanding Medicaid

South Carolina

Not Expanding Medicaid

Number of people in coverage gap: 194,330

South Dakota

Not Expanding Medicaid

Number of people in coverage gap: 25,480

Tennessee

Not Expanding Medicaid

Number of people in coverage gap: 161,650

Texas

Not Expanding Medicaid

Number of people in coverage gap: 1,046,430

Utah

Customized Medicaid Expansion

 

Virginia

Not Expanding Medicaid

Number of people in coverage gap: 190,840

Vermont

Expanding Medicaid

Washington

Expanding Medicaid

Wisconsin

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

West Virginia

Expanding Medicaid

Wyoming

Not expanding. 

Number of people in coverage gap: 17,390

*Adults in Wisconsin are eligible for Medicaid up to 100% of federal poverty.
Note: CMS has approved waivers for expansion with variation in Arkansas, Iowa, Michigan and Pennsylvania. Indiana’s waiver is under review at CMS. New Hampshire and Utah have Medicaid expansion waivers under development; New Hampshire has already begun to enroll people.
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, The Commonwealth Fund, December 2013.