A State-By-State Analysis of Medicaid Expansion

How Many Americans Are At Risk? (updated 12/19/2013)

Alabama

If Alabama fully expands Medicaid eligibility, 321,000 people will gain health coverage. If the state does not expand eligibility, this group may still purchase health insurance through an exchange, but 254,000 will not be eligible for any tax credits to subsidize the cost of premiums.

Alaska

If Alaska fully expands Medicaid eligibility, 41,000 people will gain health coverage. If the state does not expand eligibility, this group may still purchase health insurance through an exchange, but 30,000 will not be eligible for any tax credits to subsidize the cost of premiums.

Arizona

Arizona’s commitment to expand Medicaid eligibility will result in 89,000 people gaining health coverage.

Arkansas

Arkansas’ commitment to expand Medicaid eligibility will result in 218,000 people gaining health coverage.

California

California’s commitment to expand Medicaid eligibility will result in 1,873,000 people gaining health coverage.

Colorado

Colorado’s commitment to expand Medicaid eligibility will result in 225,000 people gaining health coverage.

Connecticut

Connecticut’s commitment to expand Medicaid eligibility will result in 88,000 people gaining health coverage.

Delaware

Delaware’s commitment to expand Medicaid eligibility will result in 9,000 people gaining health coverage.

District of Columbia

The District of Columbia’s commitment to expand Medicaid eligibility will result in 17,000 people gaining health coverage.

Florida

If Florida fully expands Medicaid eligibility, 1,295,000 people will gain health coverage. If the state does not expand eligibility, this group may still purchase health insurance through an exchange, but 995,000 will not be eligible for any tax credits to subsidize the cost of premiums.

Georgia

If Georgia fully expands Medicaid eligibility, 684,000 people will gain health coverage. If the state does not expand eligibility, this group may still purchase health insurance through an exchange, but 534,000 will not be eligible for any tax credits to subsidize the cost of premiums.

Hawaii

Hawaii’s commitment to expand Medicaid eligibility will result in 37,000 people gaining health coverage.

Idaho

If Idaho fully expands Medicaid eligibility, 180,000 people will gain health coverage. If the state does not expand eligibility, this group may still purchase health insurance through an exchange, but 79,000 will not be eligible for any tax credits to subsidize the cost of premiums.

Illinois

Illinois’ commitment to expand Medicaid eligibility will result in 522,000 people gaining health coverage.

Indiana

If Indiana fully expands Medicaid eligibility, 374,000 people will gain health coverage. If the state does not expand eligibility, this group may still purchase health insurance through an exchange, but 288,000 will not be eligible for any tax credits to subsidize the cost of premiums.

Iowa

If Iowa fully expands Medicaid eligibility, 106,000 people will gain health coverage. If the state does not expand eligibility, this group may still purchase health insurance through an exchange, but 80,000 will not be eligible for any tax credits to subsidize the cost of premiums.

Kansas

If Kansas fully expands Medicaid eligibility, 141,000 people will gain health coverage. If the state does not expand eligibility, this group may still purchase health insurance through an exchange, but 103,000 will not be eligible for any tax credits to subsidize the cost of premiums.

Kentucky

Kentucky’s commitment to expand Medicaid eligibility will result in 288,000 people gaining health coverage.

Louisiana

If Louisiana fully expands Medicaid eligibility, 330,000 people will gain health coverage. If the state does not expand eligibility, this group may still purchase health insurance through an exchange, but 260,000 will not be eligible for any tax credits to subsidize the cost of premiums.

Maine

If Maine fully expands Medicaid eligibility, 46,000 people will gain health coverage. If the state does not expand eligibility, this group may still purchase health insurance through an exchange, but 32,000 will not be eligible for any tax credits to subsidize the cost of premiums.

Maryland

Maryland’s commitment to expand Medicaid eligibility will result in 167,000 people gaining health coverage.

Massachusetts

Massachusettes’ commitment to expand Medicaid eligibility will result in 88,000 people gaining health coverage.

Michigan

If Michigan fully expands Medicaid eligibility, 584,000 people will gain health coverage. If the state does not expand eligibility, this group may still purchase health insurance through an exchange, but 430,000 will not be eligible for any tax credits to subsidize the cost of premiums.

Minnesota

Minnesota’s commitment to expand Medicaid eligibility will result in 130,000 people gaining health coverage.

Mississippi

If Mississippi fully expands Medicaid eligibility,231,000 people will gain health coverage. If the state does not expand eligibility, this group may still purchase health insurance through an exchange, but 183,000 will not be eligible for any tax credits to subsidize the cost of premiums.

Missouri

If Missouri fully expands Medicaid eligibility, 351,000 people will gain health coverage. If the state does not expand eligibility, this group may still purchase health insurance through an exchange, but 267,000 will not be eligible for any tax credits to subsidize the cost of premiums.

Montana

If Montana fully expands Medicaid eligibility, 59,000 people will gain health coverage. If the state does not expand eligibility, this group may still purchase health insurance through an exchange, but 43,000 will not be eligible for any tax credits to subsidize the cost of premiums.

Nebraska

If Nebraska fully expands Medicaid eligibility, 78,000 people will gain health coverage. If the state does not expand eligibility, this group may still purchase health insurance through an exchange, but 56,000 will not be eligible for any tax credits to subsidize the cost of premiums.

Nevada

Nevada’s commitment to expand Medicaid eligibility will result in 163,000 people gaining health coverage.

New Hampshire

New Hampshire’s commitment to expand Medicaid eligibility will result in 51,000 people gaining health coverage.

New Jersey

New Jersey’s commitment to expand Medicaid eligibility will result in 307,000 people gaining health coverage.

New Mexico

New Mexico’s commitment to expand Medicaid eligibility will result in 127,000 people gaining health coverage.

New York

New York’s commitment to expand Medicaid eligibility will result in 170,000 people gaining health coverage.

North Carolina

If North Carolina fully expands Medicaid eligibility, 587,000 people will gain health coverage. If the state does not expand eligibility, this group may still purchase health insurance through an exchange, but 438,000 will not be eligible for any tax credits to subsidize the cost of premiums.

North Dakota

North Dakota’s commitment to expand Medicaid eligibility will result in 24,000 people gaining health coverage.

Ohio

If Ohio fully expands Medicaid eligibility, 578,000 people will gain health coverage. If the state does not expand eligibility, this group may still purchase health insurance through an exchange, but 445,000 will not be eligible for any tax credits to subsidize the cost of premiums.

Oklahoma

If Oklahoma fully expands Medicaid eligibility, 225,000 people will gain health coverage. If the state does not expand eligibility, this group may still purchase health insurance through an exchange, but 172,000 will not be eligible for any tax credits to subsidize the cost of premiums.

Oregon

Oregon’s commitment to expand Medicaid eligibility will result in 252,000 people gaining health coverage.

Pennsylvania

If Pennsylvania fully expands Medicaid eligibility, 520,000 people will gain health coverage. If the state does not expand eligibility, this group may still purchase health insurance through an exchange, but 398,000 will not be eligible for any tax credits to subsidize the cost of premiums.

Rhode Island

Rhode Island’s commitment to expand Medicaid eligibility will result in 38,000 people gaining health coverage.

South Carolina

If South Carolina fully expands Medicaid eligibility, 287,000 people will gain health coverage. If the state does not expand eligibility, this group may still purchase health insurance through an exchange, but 232,000 will not be eligible for any tax credits to subsidize the cost of premiums.

South Dakota

If South Dakota fully expands Medicaid eligibility, 40,000 people will gain health coverage. If the state does not expand eligibility, this group may still purchase health insurance through an exchange, but 30,000 will not be eligible for any tax credits to subsidize the cost of premiums.

Tennessee

If Tennessee fully expands Medicaid eligibility, 361,000 people will gain health coverage. If the state does not expand eligibility, this group may still purchase health insurance through an exchange, but 284,000 will not be eligible for any tax credits to subsidize the cost of premiums.

Texas

If Texas fully expands Medicaid eligibility, 1,748,000 people will gain health coverage. If the state does not expand eligibility, this group may still purchase health insurance through an exchange, but 1,326,000 will not be eligible for any tax credits to subsidize the cost of premiums.

Utah

If Utah fully expands Medicaid eligibility, 105,000 people will gain health coverage. If the state does not expand eligibility, this group may still purchase health insurance through an exchange, but 73,000 will not be eligible for any tax credits to subsidize the cost of premiums.

Vermont

Vermont’s commitment to expand Medicaid eligibility will result in <1000 people gaining health coverage.

Virginia

If Virginia fully expands Medicaid eligibility, 342,000 people will gain health coverage. If the state does not expand eligibility, this group may still purchase health insurance through an exchange, but 271,000 will not be eligible for any tax credits to subsidize the cost of premiums.

Washington

Washington’s commitment to expand Medicaid eligibility will result in 308,000 people gaining health coverage.

West Virginia

West Virginia’s commitment to expand Medicaid eligibility will result in 131,000 people gaining health coverage.

Wisconsin

If Wisconsin fully expands Medicaid eligibility, 181,000 people will gain health coverage. If the state does not expand eligibility, this group may still purchase health insurance through an exchange, but 145,000 will not be eligible for any tax credits to subsidize the cost of premiums.

Wyoming

If Wyoming fully expands Medicaid eligibility, 24,000 people will gain health coverage. If the state does not expand eligibility, this group may still purchase health insurance through an exchange, but 18,000 will not be eligible for any tax credits to subsidize the cost of premiums.

Commitment to expand
Medicaid eligibility

*Indicates that the standard error is greater than 30 percent of the estimate and should be interpreted with caution.

Source: Urban Institute, "Opting Out of the Medicaid Expansion Under the ACA: How Many Uninsured Adults Would Not Be Eligible for Medicaid"; Elise Viebeck, "Fifteen Governors Reject or Leaning Against Expanded Medicaid Program"; The Advisory Board Company, "Where Each State Stands on ACA's Medicaid Expansion"; Sam Baker, "Perry Rejects Medicaid Expansion, Says He Won't Set Up Insurance Exchange"; Jonathan Starkey, "After Court Ruling on Medicaid, Delaware Remains Uncommitted."

The authors would like to thank Andrea-Gale Okoro, a health policy intern with the Center for American Progress, for her assistance in updating this map.