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.
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
Expanding Medicaid
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 had transitioned 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).
