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