| United States |
32 Yes, 19 No |
7 states have approved waivers in place, 2 states have waiver/waiver amendment applications pending, 2 states are preparing waivers/waiver amendments for submission*; 25 states expanded through SPAs |
4 States with Activity in 2017 |
4,031,000 |
| Alabama |
No |
|
|
187,000 |
| Alaska |
Yes (9/1/2015) |
SPA |
|
|
| Arizona |
Yes |
Approved waiver in place; Preparing waiver amendment for submission |
|
|
| Arkansas |
Yes |
Approved waiver in place; Preparing waiver amendment for submission |
|
|
| California |
Yes |
SPA |
|
|
| Colorado |
Yes |
SPA |
|
|
| Connecticut |
Yes |
SPA |
|
|
| Delaware |
Yes |
SPA |
|
|
| DC |
Yes |
SPA |
|
|
| Florida |
No |
|
|
746,000 |
| Georgia |
No |
|
|
431,000 |
| Hawaii |
Yes |
SPA |
|
|
| Idaho |
No |
|
|
50,000 |
| Illinois |
Yes |
SPA |
|
|
| Indiana |
Yes (2/1/2015) |
Approved waiver in place; Waiver extension/amendment application pending at CMS |
|
|
| Iowa |
Yes |
Approved waiver in place |
|
|
| Kansas |
No |
|
Expansion legislation passed by the House and Senate was vetoed by Governor Brownback on 3/30/17. House vote to override the veto failed by three votes. |
86,000 |
| Kentucky |
Yes |
SPA; Waiver application pending at CMS |
|
|
| Louisiana |
Yes (7/1/2016) |
SPA |
|
|
| Maine |
No |
|
Expansion question will be put to voters on the ballot in November 2017. |
N/A |
| Maryland |
Yes |
SPA |
|
|
| Massachusetts |
Yes |
SPA |
|
|
| Michigan |
Yes (4/1/2014) |
Approved waiver in place |
|
|
| Minnesota |
Yes |
SPA |
|
|
| Mississippi |
No |
|
|
151,000 |
| Missouri |
No |
|
|
139,000 |
| Montana |
Yes (1/1/2016) |
Approved waiver in place |
|
|
| Nebraska |
No |
|
|
36,000 |
| Nevada |
Yes |
SPA |
|
|
| New Hampshire |
Yes (8/15/2014) |
Approved waiver in place |
|
|
| New Jersey |
Yes |
SPA |
|
|
| New Mexico |
Yes |
SPA |
|
|
| New York |
Yes |
SPA |
|
|
| North Carolina |
No |
|
Governor Cooper announced plans to expand Medicaid through executive action shortly after taking office in January 2017. Court battle is ongoing between the Governor and legislators over whether the Governor has the authority to expand without the General Assembly’s approval. |
341,000 |
| North Dakota |
Yes |
SPA |
|
|
| Ohio |
Yes |
SPA |
|
|
| Oklahoma |
No |
|
|
127,000 |
| Oregon |
Yes |
SPA |
|
|
| Pennsylvania |
Yes (1/1/2015) |
SPA |
|
|
| Rhode Island |
Yes |
SPA |
|
201,000 |
| South Carolina |
No |
|
|
|
| South Dakota |
No |
|
|
24,000 |
| Tennessee |
No |
|
|
174,000 |
| Texas |
No |
|
|
1,023,000 |
| Utah |
No |
|
|
55,000 |
| Vermont |
Yes |
SPA |
|
|
| Virginia |
No |
|
Governor McAuliffe requested a budget amendment on 3/27/17 that would give him the authority to expand. Republican-led General Assembly rejected the amendment on 4/5/17. |
201,000 |
| Washington |
Yes |
SPA |
|
|
| West Virginia |
Yes |
SPA |
|
|
| Wisconsin |
No |
|
|
N/A |
| Wyoming |
No |
|
|
14,000 |
| NOTES: *Coverage under the Medicaid expansion became effective January 1, 2014 in all states that have adopted expansion unless otherwise noted. States counted as having legislative or administrative activity on expansion in 2017 include those in which the governor is directly pursuing Medicaid expansion, a bill to expand Medicaid has been approved in at least one house of the legislature, or the decision to expand will be up to voters in a state referendum. States counted as preparing waivers/waiver amendments for submission include states in the range of the waiver development process between beginning work on drafting a waiver and officially submitting the waiver to CMS. Number of uninsured adults who could gain Medicaid coverage if non-expansion states expand includes both individuals currently in the coverage gap (<100% FPL) and those who currently may be eligible for Marketplace coverage (100-138% FPL); US total is for all non-expansion states (including those marked as N/A in the table); state values may not sum to national total due to rounding. SPA: State Plan Amendment. N/A: Sample size too small for reliable estimate.
SOURCES: Kaiser Family Foundation tracking of state Medicaid expansion activity; MaryBeth Musumeci, Elizabeth Hinton, and Robin Rudowitz, Key Themes in Section 1115 Medicaid Expansion Waivers (Washington, DC: Kaiser Family Foundation, March 2017), http://kff.org/health-reform/issue-brief/key-themes-in-section-1115-medicaid-expansion-waivers/
|
Go to Source
