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ACA Medicaid Expansion - Where States Stand June 2013

The Affordable Care Act (ACA) called for a nationwide expansion of Medicaid, set to begin in 2014. However, Medicaid expansion was one of the provisions at stake in the ACA cases decided by the Supreme Court in June 2012. The Supreme Court upheld Medicaid expansion, but limited the federal government’s ability to penalize states that don’t comply. So, while Medicaid expansion was originally mandatory for states, it is now optional.

If a state participates in Medicaid expansion, nearly all residents under age 65 with family incomes up to 138% of the federal poverty level (FPL) will qualify for Medicaid in 2014. That's the equivalent to $15,415 for an individual in 2012 or $26,344 for a family of three.

Medicaid Expansion Update by State

So, where do the states stand? As of June 20, 2013:

  • 30 states support
  • 15 states oppose
  • 6 states weighing options

medicaid expansion update

State

Current Status of Medicaid Expansion Decision

Alabama

Opposes

Alaska

Opposes

Arizona

Supports

Arkansas 

Supports

California

Supports

Colorado

Supports

Connecticut

Supports

Delaware

Supports

District of Columbia

Supports

Florida 

Supports

Georgia

Opposes

Hawaii

Supports

Idaho

Opposes

Illinois

Supports

Indiana 

Weighing Options

Iowa 

Supports

Kansas

Weighing Options

Kentucky

Supports

Louisiana

Opposes

Maine

Weighing Options

Maryland

Supports

Massachusetts

Supports

Michigan 

Supports

Minnesota

Supports

Mississippi 

Opposes

Missouri

Supports

Montana 

Supports

Nebraska

Opposes

Nevada

Supports

New Hampshire

Supports

New Jersey

Supports

New Mexico

Supports

New York

Supports

North Carolina

Opposes

North Dakota

Supports

Ohio

Supports

Oklahoma

Opposes

Oregon

Supports

Pennsylvania

Weighing Options

Rhode Island

Supports

South Carolina

Opposes

South Dakota

Opposes

Tennessee 

Weighing Options

Texas

Opposes

Utah

Weighing Options

Vermont

Supports

Virginia

Opposes

Washington

Supports

West Virginia

Supports

Wisconsin

Opposes

Wyoming

Opposes

According to the Centers for Medicare & Medicaid Services (CMS), there is no deadline for states to implement Medicaid expansion.