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ACA Medicaid Expansion - Where States Stand October 2013

October 24, 2013
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Where does your state stand with Medicaid expansion? In this Medicaid expansion update we'll look at where states stand in expanding eligibility for Medicaid as of October 2013.

Medicaid Expansion Background

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 residing adults 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 ~$15,800 for an individual in 2013 or $32,500 for a family of four in 2013.

Medicaid Expansion Update by State

So, where do the states stand? As of October 22, 2013:

  • 25 states (and DC) are moving forward with Medicaid expansion
  • 25 states are not moving forward with Medicaid expansion

Medicaid Expansion October 2013    

Source: Kaiser Family Foundation

 

STATE

MEDICAID EXPANSION STATUS 

Alabama

Not Moving Forward at this Time

Alaska

Not Moving Forward at this Time

Arizona

Moving Forward at this Time

Arkansas

Moving Forward at this Time

California

Moving Forward at this Time

Colorado

Moving Forward at this Time

Connecticut

Moving Forward at this Time

Delaware

Moving Forward at this Time

District of Columbia

Moving Forward at this Time

Florida

Not Moving Forward at this Time

Georgia

Not Moving Forward at this Time

Hawaii

Moving Forward at this Time

Idaho

Not Moving Forward at this Time

Illinois

Moving Forward at this Time

Indiana

Not Moving Forward at this Time

Iowa

Moving Forward at this Time

Kansas

Not Moving Forward at this Time

Kentucky

Moving Forward at this Time

Louisiana

Not Moving Forward at this Time

Maine

Not Moving Forward at this Time

Maryland

Moving Forward at this Time

Massachusetts

Moving Forward at this Time

Michigan

Moving Forward at this Time

Minnesota

Moving Forward at this Time

Mississippi

Not Moving Forward at this Time

Missouri

Not Moving Forward at this Time

Montana

Not Moving Forward at this Time

Nebraska

Not Moving Forward at this Time

Nevada

Moving Forward at this Time

New Hampshire

Not Moving Forward at this Time

New Jersey

Moving Forward at this Time

New Mexico

Moving Forward at this Time

New York

Moving Forward at this Time

North Carolina

Not Moving Forward at this Time

North Dakota

Moving Forward at this Time

Ohio

Moving Forward at this Time

Oklahoma

Not Moving Forward at this Time

Oregon

Moving Forward at this Time

Pennsylvania

Not Moving Forward at this Time

Rhode Island

Moving Forward at this Time

South Carolina

Not Moving Forward at this Time

South Dakota

Not Moving Forward at this Time

Tennessee

Not Moving Forward at this Time

Texas

Not Moving Forward at this Time

Utah

Not Moving Forward at this Time

Vermont

Moving Forward at this Time

Virginia

Not Moving Forward at this Time

Washington

Moving Forward at this Time

West Virginia

Moving Forward at this Time

Wisconsin

Not Moving Forward at this Time

Wyoming

Not Moving Forward at this Time

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

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