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
Not Expanding Medicaid
Number of people in coverage gap: 57,850
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, and Michigan. Pennsylvania’s waiver is currently under review by CMS.
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.
