How many states do not participate in the Affordable Care Act?

Asked by: Prof. Osvaldo Runolfsson Sr.  |  Last update: April 15, 2025
Score: 4.7/5 (2 votes)

To date, 41 states (including DC) have adopted the Medicaid expansion and 10 states have not adopted the expansion. Current status for each state is based on KFF tracking and analysis of state expansion activity.

Which states do not participate in the Affordable Care Act?

The Affordable Care Act, also known as Obamacare, was enacted in 2010, but 10 states have not expanded Medicaid, the federal-state program that provides health care for low-income people. They are Alabama, Florida, Georgia, Kansas, Mississippi, South Carolina, Tennessee, Texas, Wisconsin and Wyoming.

Is ACA available in all 50 states?

The Affordable Care Act (ACA) requires every state to have a health insurance exchange or marketplace. These exchanges allow individuals and small businesses to purchase their own health insurance coverage or get financial assistance through Medicaid, CHIP, or premium tax credits.

What are the hardest states to get Medicaid?

The 10 most deficient state programs have overall scores ranging from between 317.8 and 379.1 of the total 1000 points. The worst, in order from 50th to 41st, are in Mississippi, Idaho, Texas, Oklahoma, South Dakota, Indiana, South Carolina, Colorado, Alabama, and Missouri.

Is Obamacare accepted everywhere?

Just like any other health plan, your Marketplace plan may not be accepted by every doctor, hospital, or provider. Many Marketplace insurance plans have limited or “narrow” networks of doctors and hospitals that agree to accept these lower negotiated prices.

Here's Why the Affordable Care Act Is So Controversial | History

32 related questions found

Can I use Obamacare in any state?

When you're traveling outside of California, your insurer doesn't matter: You are only eligible to have emergency and urgent medical services covered. “None of our plans have out-of-state networks,” Lopez says.

What is the best state for free healthcare?

The top five states for healthcare access are:
  • Hawaii.
  • Massachusetts.
  • Connecticut.
  • Rhode Island.
  • Vermont.

What is the best state to live in for low income?

Oklahoma consistently ranks as one of the states with the most affordable housing costs. The state also has a number of financial assistance programs through staples like SNAP and WIC, as well as local nonprofit Bethel Foundation for single mothers and young children.

How many states do not accept Medicaid?

To date, 41 states (including DC) have adopted the Medicaid expansion and 10 states have not adopted the expansion. Current status for each state is based on KFF tracking and analysis of state expansion activity.

Which state has the best ACA plans?

  • Hawaii. #1 in Health Care Affordability. ...
  • Vermont. #2 in Health Care Affordability. ...
  • Massachusetts. #3 in Health Care Affordability. ...
  • Iowa. #4 in Health Care Affordability. ...
  • South Dakota. #5 in Health Care Affordability. ...
  • Rhode Island. #6 in Health Care Affordability. ...
  • Minnesota. #6 in Health Care Affordability. ...
  • Maine.

Who is not eligible for Obamacare?

Must live in the United States. Must be a U.S. citizen or national (or be lawfully present). Learn about eligible immigration statuses. Cannot be incarcerated in prison or jail.

What is the difference between a PPO and a HMO?

HMO plans typically have lower monthly premiums. You can also expect to pay less out of pocket. PPOs tend to have higher monthly premiums in exchange for the flexibility to use providers both in and out of network without a referral. Out-of-pocket medical costs can also run higher with a PPO plan.

Which state has the best Medicaid program?

The top states—ranked from 1 to 10—are Massachusetts, Nebraska, Vermont, Alaska, Wisconsin, Rhode Island, Minnesota, New York, Washington, and New Hampshire.

What states offer free health insurance?

  • California. State offers public health coverage to all adults regardless of immigration status.
  • Colorado. State offers private health coverage with state subsidies to all adults regardless of immigration status.
  • Illinois. ...
  • Minnesota. ...
  • New york. ...
  • Oregon. ...
  • Washington. ...
  • District of columbia.

What insurance is accepted in all 50 states?

Medicare is run by the federal government, which is why Original Medicare coverage is the same in every state and includes nationwide access to providers.

What state helps the poor the most?

Berman's key finding: Vermont ranks as the most generous state with the average low-income person receiving about $26,000 in benefits. This is due largely to the fact that, using my measure, Vermont has the most generous Medicaid program and Medicaid accounts for about half of all of the programs I consider.

What is the most tax-friendly state to live in?

States with the lowest personal income tax rates
  • Alaska.
  • Florida.
  • Nevada.
  • South Dakota.
  • Tennessee.
  • Texas.
  • Washington.
  • Wyoming.

What state is #1 in healthcare?

Hawaii, Massachusetts, Minnesota, Iowa, and Connecticut are the top-ranked states according to the 2020 Scorecard, which assesses all 50 states and the District of Columbia on more than 45 measures of access to health care, quality of care, service use and costs of care, health outcomes, and income-based health care ...

Is there anywhere in America with free healthcare?

The U.S. is the only developed country without a system of universal healthcare, and a significant proportion of its population lacks health insurance.

Which state has the best medical care for seniors?

The Best States for Senior Healthcare
  1. Montana – Overall Grade: A+ (100) ...
  2. North Dakota – Overall Grade: A+ (98.3) ...
  3. South Dakota – Overall Grade: A (92.9) ...
  4. Minnesota – Overall Grade: A (92.6) ...
  5. 5. California – Overall Grade: A (92.3)

What is the biggest problem with Obamacare?

Obamacare has increased the cost of health care and health insurance. The ACA's federal mandates and spending, including Medicaid expansion and subsidized individual plans, have drastically increased the cost of health care and health insurance. 2. Obamacare increases Americans' reliance on the federal government. …

Why don't hospitals accept all insurance?

Hospitals that controlled the “must-have” resources have the most power. For example, if there's only one pediatric hospital in your town, they have a more powerful position to negotiate with the local insurance company. Also, hospitals that consistently are full of patients have more negotiating power as well.

What states refuse Obamacare?

Ten states—Alabama, Florida, Georgia, Kansas, Mississippi, South Carolina, Tennessee, Texas, Wisconsin, and Wyoming—have not expanded Medicaid eligibility under the Affordable Care Act to individuals with incomes up to 138% of the federal poverty level.