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Medicaid is the federal health insurance program that covers people who have low-incomes and meet certain categories of eligibility. Medicaid eligibility varies by state.

The Affordable Care and Patient Protection Act (ACA) created a new category of eligibility for the Medicaid program to include individuals who have incomes at or below 138% of the Federal Poverty Level (FPL).  Due to the Supreme Court decision in National Federation of Independent Business v. Sebelius (2012), states have the option to expand their Medicaid programs.

This chart shows what each state is doing.

  • Expanded 37

  • AK5, AR4, AZ, CA, CO, CT, DC, DE, HI, IA4, ID 11, IL, IN, KY, LA7, MA, MD, ME8, MI1, MN, MT6, ND, NH3, NE12, NJ, NM, NV, NY, OH, OR, PA2, RI, UT 10, VA9, VT, WA, WV
  • Not Expanded 14

  • AL, FL, GA, KS, MO, MS, NC, OK, SC, SD, TN, TX, WI, WY

Updated: 1/9/2019 (information changes frequently, please check for updates)

1 MI expansion began 4/1/14

2  PA expansion began 1/1/15

3 NH expansion began 1/1/16

4  IA and AR implemented expansion through premium assistance & wrap around Medicaid

5 AK expansion began 9/1/15

6 MT enrollment began 11/2/15 for coverage that begins 1/1/16 – expires 6/19

7 LA Governor signed Executive Order for expansion that began 7/1/16

8 ME Governor signed Executive Order 1/3/19, awaiting HHS approval, coverage will be retroactive to 7/2/18

9 VA expansion began 1/1/19

10 UT Voters approved a proposition in 11/18; awaiting HHS approval to begin coverage 4/1/19

11 ID Voters approved a proposition in 11/18; awaiting HHS approval

12 NE Voters approved a proposition in 11/18; awaiting HHS approval