Where States Stand on Medicaid Expansion

The map below tracks implementation of the Affordable Care Act’s (ACA) Medicaid expansion in all states, as of November 8, 2019. The map indicates whether states are using alternative approaches through demonstration waivers, and also features information about state legislation or citizen referendums, governors’ stances, and other analyses. Expanding Medicaid increases coverage for people earning up to 138 percent of the federal poverty level annually.

*This map provides a record of legislation introduced, but does not track the exact status of bills moving in state legislatures. Map is updated when bills pass chambers and/or are signed by a governor.
For information about state proposals to implement Medicaid work requirements, see this chart.
Know something NASHP should add to this map? Please leave a comment below or email acardwell@nashp.org.

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