What States Have Medicaid Expansion

Currently 38 states and the District of Columbia have expanded Medicaid programs in order to extend coverage to more citizens. Eligibility is based on income, and anyone who earns less than 138% of the federal poverty level qualifies. Medicaid expansion provides a wide range of health services including doctor’s visits, hospital care, prescription drugs, and mental health and substance abuse treatment. The expansion has been a success in terms of increasing the number of people with health insurance and improving access to care. Additionally, it has helped to reduce the number of uninsured people in the country.

States with Medicaid Expansion

Medicaid expansion is a key provision of the Affordable Care Act (ACA) that has extended health coverage to millions of low-income adults nationwide. As of September 2022, 39 states and the District of Columbia have expanded Medicaid, while 12 states have not.

States That Have Expanded Medicaid

  • California
  • Colorado
  • Connecticut
  • Delaware
  • District of Columbia
  • Hawaii
  • Illinois
  • Kentucky
  • Maine
  • Maryland
  • Massachusetts
  • Minnesota
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • Oregon
  • Pennsylvania
  • Rhode Island
  • Vermont
  • Virginia
  • Washington
  • West Virginia

States That Have Not Expanded Medicaid

  • Alabama
  • Alaska
  • Florida
  • Georgia
  • Idaho
  • Kansas
  • Louisiana
  • Mississippi
  • Missouri
  • Nebraska
  • North Dakota
  • Ohio
  • Oklahoma
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Wisconsin
  • Wyoming

Table of States with Medicaid Expansion

StateMedicaid Expansion Status
CaliforniaYes
ColoradoYes
ConnecticutYes
DelawareYes
District of ColumbiaYes
HawaiiYes
IllinoisYes
KentuckyYes
MaineYes
MarylandYes
MassachusettsYes
MinnesotaYes
NevadaYes
New HampshireYes
New JerseyYes
New MexicoYes
New YorkYes
North CarolinaYes
OregonYes
PennsylvaniaYes
Rhode IslandYes
VermontYes
VirginiaYes
WashingtonYes
West VirginiaYes

Medicaid Expansion in the United States

Medicaid expansion is a major component of the Affordable Care Act (ACA), which was signed into law in 2010. The ACA expanded Medicaid eligibility to adults with incomes up to 138% of the federal poverty level. Prior to the ACA, Medicaid eligibility was limited to certain groups, such as children, pregnant women, and people with disabilities. As of 2023, 39 states and the District of Columbia have expanded Medicaid.

Medicaid Expansion Map

The following map shows the states that have expanded Medicaid:

  • States that have expanded Medicaid:
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District of Columbia
  • Hawaii
  • Illinois
  • Kentucky
  • Maine
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • Oregon
  • Pennsylvania
  • Rhode Island
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • States that have not expanded Medicaid:
  • Alabama
  • Alaska
  • Arizona
  • Arkansas
  • Florida
  • Georgia
  • Idaho
  • Indiana
  • Iowa
  • Kansas
  • Louisiana
  • Mississippi
  • Missouri
  • Montana
  • Nebraska
  • North Carolina
  • North Dakota
  • Ohio
  • Oklahoma
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Wisconsin
  • Wyoming

Benefits of Medicaid Expansion

Medicaid expansion has led to a number of benefits, including:

  • Increased access to health care: Medicaid expansion has led to a significant increase in the number of people who have health insurance. In states that have expanded Medicaid, the uninsured rate has dropped by an average of 8 percentage points.
  • Improved health outcomes: Medicaid expansion has led to improved health outcomes, including reduced mortality rates and increased access to preventive care.
  • Economic benefits: Medicaid expansion has led to a number of economic benefits, including increased job creation and reduced state spending on health care.

Table of States with Medicaid Expansion

StateDate of Expansion
CaliforniaJanuary 1, 2014
ColoradoJanuary 1, 2014
ConnecticutJanuary 1, 2014
DelawareJanuary 1, 2014
District of ColumbiaJanuary 1, 2014
HawaiiJanuary 1, 2014
IllinoisJanuary 1, 2014
KentuckyJanuary 1, 2014
MaineJanuary 1, 2014

Medicaid Expansion in the United States

Medicaid is a government-funded health insurance program that provides coverage to low-income individuals and families. The program is jointly funded by the federal government and the states, with the federal government providing a set percentage of funding and the states providing the rest. In 2010, the Affordable Care Act (ACA) expanded Medicaid eligibility to include adults with incomes up to 138% of the federal poverty level (FPL).

The ACA allows states to choose whether or not to expand Medicaid. As of May 2023, 39 states and the District of Columbia have expanded Medicaid, while 11 states have not.

Medicaid Expansion Eligibility

  • To be eligible for Medicaid expansion, individuals must meet the following criteria:
  • Be between the ages of 19 and 64.
  • Have an income below 138% of the FPL.
  • Be a U.S. citizen or a qualifying immigrant.
  • Not be eligible for Medicare, another type of government-funded health insurance.

Some states may have additional eligibility requirements, such as a residency requirement or a work requirement. It is important to check with your state’s Medicaid agency to determine the specific eligibility requirements in your state.

Benefits of Medicaid Expansion

Medicaid expansion has a number of benefits, including:

  • Increased access to healthcare: Medicaid expansion has led to a significant increase in the number of people who have health insurance. This means that more people are able to get the care they need to stay healthy.
  • Improved health outcomes: Studies have shown that Medicaid expansion leads to improved health outcomes, such as lower rates of hospitalization and emergency room visits.
  • Reduced costs: Medicaid expansion can help to reduce costs for both individuals and the government. By providing coverage to more people, Medicaid expansion can help to lower the cost of healthcare for everyone.

States that Have Expanded Medicaid

The following table shows the states that have expanded Medicaid as of May 2023:

StateDate of Expansion
CaliforniaJanuary 1, 2014
ColoradoJanuary 1, 2014
ConnecticutJanuary 1, 2014
DelawareJanuary 1, 2014
HawaiiJanuary 1, 2014
IllinoisJanuary 1, 2014
KentuckyJanuary 1, 2014
MarylandJanuary 1, 2014
MassachusettsJanuary 1, 2014
MinnesotaJanuary 1, 2014
NevadaJanuary 1, 2014
New JerseyJanuary 1, 2014
New MexicoJanuary 1, 2014
New YorkJanuary 1, 2014
OregonJanuary 1, 2014
PennsylvaniaJanuary 1, 2014
Rhode IslandJanuary 1, 2014
VermontJanuary 1, 2014
WashingtonJanuary 1, 2014
Washington, D.C.January 1, 2014
ArkansasJanuary 1, 2015
IndianaJanuary 1, 2015
MichiganJanuary 1, 2015
MontanaJanuary 1, 2015
North DakotaJanuary 1, 2015
OhioJanuary 1, 2015
West VirginiaJanuary 1, 2015
AlaskaJuly 1, 2015
ArizonaJanuary 1, 2016
IdahoJanuary 1, 2016
LouisianaJuly 1, 2016
MaineJanuary 1, 2017
NebraskaFebruary 1, 2017
OklahomaJuly 1, 2017
UtahJanuary 1, 2018

Note: The information in this article is current as of May 2023. Medicaid expansion is a complex issue and the details of the program can vary from state to state. It is important to check with your state’s Medicaid agency for the most up-to-date information on eligibility and benefits.

Medicaid Expansion: A State-by-State Overview

Medicaid expansion is a key provision of the Affordable Care Act (ACA) that allows states to extend Medicaid coverage to adults aged 19-64 with incomes up to 138% of the federal poverty level. As of 2023, 39 states and the District of Columbia have expanded Medicaid, while 11 states have not.

Benefits of Medicaid Expansion

Medicaid expansion has a number of benefits, both for individuals and for states. For individuals, Medicaid expansion means:

  • Access to affordable health insurance
  • Improved access to preventive care
  • Lower rates of hospitalization and emergency room visits
  • Better health outcomes
  • Increased economic security

For states, Medicaid expansion means:

  • Reduced costs for uncompensated care
  • Increased revenue from federal matching funds
  • Improved public health outcomes
  • A stronger economy

States that Have Expanded Medicaid

The following states have expanded Medicaid:

StateExpansion Date
CaliforniaJanuary 1, 2014
ConnecticutJanuary 1, 2014
DelawareJanuary 1, 2014
HawaiiJanuary 1, 2014
IllinoisJanuary 1, 2014
KentuckyJanuary 1, 2014
MarylandJanuary 1, 2014
MassachusettsJanuary 1, 2014
New JerseyJanuary 1, 2014
New YorkJanuary 1, 2014
OregonJanuary 1, 2014
Rhode IslandJanuary 1, 2014
VermontJanuary 1, 2014
WashingtonJanuary 1, 2014
District of ColumbiaJanuary 1, 2014
IndianaFebruary 1, 2015
MichiganApril 1, 2014
New MexicoJanuary 1, 2014
NevadaJanuary 1, 2014
OhioJanuary 1, 2014
PennsylvaniaJanuary 1, 2015
West VirginiaJanuary 1, 2014
AlaskaSeptember 1, 2015
ArizonaJanuary 1, 2014
ArkansasJanuary 1, 2014
CaliforniaJanuary 1, 2014
ColoradoJanuary 1, 2014
ConnecticutJanuary 1, 2014
DelawareJanuary 1, 2014
District of ColumbiaJanuary 1, 2014
HawaiiJanuary 1, 2014
IdahoJanuary 1, 2019
IllinoisJanuary 1, 2014
IndianaFebruary 1, 2015
IowaJanuary 1, 2014
KentuckyJanuary 1, 2014
LouisianaJuly 1, 2016
MaineJanuary 1, 2019
MarylandJanuary 1, 2014
MassachusettsJanuary 1, 2014
MichiganApril 1, 2014
MinnesotaJanuary 1, 2014
MissouriOctober 1, 2021
MontanaJanuary 1, 2016
NebraskaOctober 1, 2023
NevadaJanuary 1, 2014
New HampshireJanuary 1, 2014
New JerseyJanuary 1, 2014
New MexicoJanuary 1, 2014
New YorkJanuary 1, 2014
North DakotaJuly 1, 2015
OhioJanuary 1, 2014
OklahomaJune 1, 2021
OregonJanuary 1, 2014
PennsylvaniaJanuary 1, 2015
Rhode IslandJanuary 1, 2014
South DakotaJuly 1, 2023
TennesseeJanuary 1, 2023
UtahJanuary 1, 2021
VermontJanuary 1, 2014
VirginiaJanuary 1, 2019
WashingtonJanuary 1, 2014
West VirginiaJanuary 1, 2014
WisconsinJanuary 1, 2022
WyomingJuly 1, 2023

States that Have Not Expanded Medicaid

The following states have not expanded Medicaid:

  • Alabama
  • Florida
  • Georgia
  • Kansas
  • Mississippi
  • North Carolina
  • South Carolina
  • Texas
  • Wisconsin
  • Wyoming

Thanks for joining me on this insightful journey through the world of Medicaid expansion across the United States. I hope you found this article informative and helpful in understanding the current landscape of healthcare coverage in our country. Remember, the healthcare landscape is ever-changing, so be sure to visit again later for updates and any new developments. Stay informed, stay involved, and let’s continue to advocate for accessible and affordable healthcare for all.