The State of Medicaid Expansion: January 2014 to Today

Medicaid Expansion 2014 and Today

As time has passed, more states have discussed Medicaid expansion, and in turn, more states have implemented the program. With its passage health insurance is being extended to 30 million Americans through two major mechanisms – the expansion of Medicaid and the public exchanges. Beginning in 2010 and extending into 2020 legislative guidelines are being followed for its massive implementation into society.

In late 2013, we shared data from the Kaiser Family Foundation’s Status of State Action on the Medicaid Expansion Decision, highlighting the changes set to take place on January 1, 2014.

Initial Expansion

Starting January 1, 2014, 26 states had adopted Medicaid expansion, with other states considering the expansion, as highlighted in the infographic below:

2016 Expansion Details:

By 2016, the number of states signing on has jumped to 32, including DC, with 3 states in the process of discussion, and 17 leaning against expansion, highlighted in the infographic below.



State Date of Adoption
Michigan 4/1/2014
New Hampshire 8/15/2014
Pennsylvania 1/1/2015
Indiana 2/1/2015
Alaska 9/1/2015
Montana 1/1/2016
Louisiana Signed 1/12/2016, yet to take effect.


States Considering Medicaid Expansion for 2017

  • South Dakota: South Dakota’s Governor has announced his conditional support for the Medicaid expansion as part of his FY 2017 budget proposal.
  • Virginia: Virginia’s Governor has included Medicaid expansion as part of his FY 2017 budget proposal.
  • Wyoming: Continuing discussion regarding Medicaid expansion. Governor advocating for expansion, Legislature considering proposals. See more from Forbes.

States Not Moving Forward at This Time

Alabama, Florida, Georgia, Idaho, Kansas, Maine, Mississippi, Nebraska, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Utah

Wisconsin covers adults up to 100% FPL in Medicaid but did not adopt the ACA expansion.


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