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Medicaid expansion: 25 states in, six others getting closer

October 9, 2013
by Dennis Grantham, Editor-in-Chief
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As Medicaid expansion begins, 25 states (plus D.C.) are in, six are on the fence, and 19 are out, at least for now
State-by-state status: Medicare expansion and health insurance exchanges

State-by-state update: Medicaid Expansion and Insurance Exchanges

Medicaid expansion is now taking place in 26 states, plus the District of Columbia, while six more states are hashing out the details of compromise expansion plans or awaiting approval of their plans from the federal Centers for Medicare or Medicaid Services. Generally, Medicaid coverage is available for those at or below 133-138% of the federal poverty limit (FPL) in the 26 states that are undertaking Medicaid expansion at this time.  

Meanwhile, insurance "marketplaces" are open in all 50 states to serve those with incomes above 138% of the federal poverty limit (FPL) who are not covered by employer-provided health coverage.  Those with incomes between 138 - 400% of FPL are eligible for subsidies based on their incomes to assist with the purchase of private health insurance plans. 

See the chart below or the color chart illustration for state-by-state details, sourced from kff.org figures current to September 30, 2013.

Expanding Medicaid

(25 states plus D.C.)

Not expanding Medicaid

(19 states)

Actively considering

expansion  (6 states)

Arizona

Arkansas

California

Colorado

Connecticut

Delaware

District of Columbia

Hawaii

Illinois

Kentucky

Maryland

Massachusetts

Michigan

Minnesota

Nevada

New Jersey

New Mexico

New York

North Dakota

Oregon

Rhode Island

Vermont

Virginia

Washington

West Virginia

Wisconsin

Alabama

Alaska

Florida

Georgia

Idaho

Indiana

Louisiana

Mississippi

Missouri

Montana

Nebraska

New Hampshire

North Carolina

Ohio

Oklahoma

South Carolina

South Dakota

Texas

Wyoming

 

 

 

 

 

 

 

Iowa

Kansas

Maine

Pennsylvania

Tennessee

Utah

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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