What states haven't expanded Medicaid?

Asked by: Mr. Gillian Anderson  |  Last update: April 20, 2025
Score: 5/5 (65 votes)

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.

How many states have not expanded 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. These data are also available in a table format. The map may be downloaded as a Powerpoint.

Why has Florida not expanded Medicaid?

Concerns about the financial sustainability of such an expansion and the potential strain it could place on the state's budget were key factors in this decision. This choice set Florida apart from many other states that opted to expand their Medicaid programs to provide healthcare coverage to a broader population.

What state is the hardest to get Medicaid in?

The worst, in order from 50th to 41st, are in Mississippi, Idaho, Texas, Oklahoma, South Dakota, Indiana, South Carolina, Colorado, Alabama, and Missouri.

Why has Kansas not expanded Medicaid?

The state's top Republicans oppose the bill, most often giving the same general objections. They say Medicaid expansion will cost too much. They argue it will give coverage to too many “able-bodied adults.” And they worry that expanding Medicaid will take away private insurance coverage that some Kansans already have.

Harris Criticizes 12 Holdout States That Haven't Expanded Medicaid

28 related questions found

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.

Why do people not want to expand Medicaid?

Furthermore, some of its critics maintain that Medicaid's quality of care and financing are so bad that, as stated by Brian Blase at the Heritage Foundation, Medicaid expansion under the ACA will “likely hurt overall population health.”

What state has the highest Medicaid limit?

The state with the highest Medicaid income limit is Alaska, where households of eight people must have a maximum income of less than $77,526. Alaska Medicaid income limits also include the highest limit for households of one person, $22,597. Read on to find out all the Medicaid income limits by state.

What state has the best healthcare for poor people?

  • 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.

What race uses Medicaid the most?

A larger share of Medicaid and CHIP enrollees are Hispanic and non- Hispanic Black than the U.S. population, and a smaller share are non-Hispanic White. Sources: 2020 T-MSIS Analytic Files Annual Demographic and Eligibility File, Release 1; 2020 Race/Ethnicity Imputation Companion File; 2019 American Community Survey.

Has Texas expanded Medicaid?

Texas is one of just 10 states that did not expand Medicaid under the Affordable Care Act—but what do we know about the impact?

What does Medicaid not cover?

Though Medicaid covers a wide range of services, there are limitations on certain types of care, such as infertility treatments, elective abortions, and some types of alternative medicine. For example, the federal government lists family planning as a mandatory service benefit, but states interpret this differently.

What is the income limit for Medicaid in 2024?

Definitions. Parents of Dependent Children: Income limits for 2024 are reported as a percentage of the federal poverty level (FPL). The 2024 FPL for a family of three is $25,820. Other Adults: Eligibility limits for other adults are presented as a percentage of the 2024 FPL for an individual is $15,060.

Which state has the most Medicaid?

California has more Medicaid and CHIP enrollees than any other state in the United States.

How often does Medicaid check your bank account?

Medicaid agencies can check your account balances for bank accounts at any financial institution you've used in the past five years. They will check when you submit an application and on an annual basis, but checks can occur at any time.

What are the four types of Medicaid?

There are four types of Medicaid delivery systems:
  • State-operated fee-for-service (FFS)
  • Primary care case management (PCCM)
  • Comprehensive risk-based managed care (MCO model)
  • Limited-benefit plans.

What state has the worst insurance rates?

Oklahoma, Kansas, Nebraska, Florida, and Colorado are the most expensive states for homeowners insurance. Oklahoma has the highest average cost of homeowners insurance in the U.S. at $5,858 per year.

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 ...

What happens in America if you can't afford healthcare?

Americans are no longer taxed for not carrying health insurance. Medical debt contributes to a large number of bankruptcies in America. Access to quality primary care is critical, but doctors have the right to refuse patients without insurance or who are able to pay out-of-pocket expenses.

What disqualifies you from Medicaid?

In general, a single person must have no more than $2,000 in cash assets to qualify. If you're over 65, the requirements are more complex. Whatever your age, there are strict rules about asset transfers. Medicaid may take into consideration any gifts or transfers of cash you've made recently.

What states have not expanded Medicaid eligibility?

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.

Which states pay the most for Medicaid?

Across states, Medicaid spending per enrollee ranged from $3,750 to $12,425, with a median spending of $7,784 (Figure 2). Tennessee, Florida, Oklahoma, and Nevada reported some of the lowest spending per enrollee, while Washington, D.C., Virginia, Massachusetts, and Minnesota reported the highest spending per enrollee.

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 is the main problem with Medicaid?

But it has been difficult to launch and sustain managed care under Medicaid: Program design has been complicated and time-consuming, and administrative costs are higher, at least in the initial stages (Freund et. al., 1989; Spitz and Abramson, 1987). The Federal waiver process has been cumbersome for many States.

Why did Kansas not expand Medicaid?

He says Medicaid expansion is too expensive and would give some people "no reason to work." Nearly 60% of those who'd be covered under Kelly's proposal do work at least 20 hours per week, according to an analysis by the Kansas Health Institute, which seeks to increase health options for Kansans.