When did states expand Medicaid?

Asked by: Mr. Cyril Waters Sr.  |  Last update: February 1, 2024
Score: 4.4/5 (53 votes)

When Medicaid expansion first took effect in 2014, it was only available in 26 states and DC. In the ensuing years, there has been a slow but steady increase in the number of states implementing Medicaid expansion. As of early 2023, Medicaid had been expanded in 38 states and the District of Columbia (see list below).

Have all 50 states expanded their Medicaid programs?

This expanded eligibility for low-income parents and newly established Medicaid coverage for adults without dependent children; however, the expansion is effectively optional for states as a result of a 2012 Supreme Court ruling. As of March 2023, 41 states including DC have expanded Medicaid (Figure 1).

How did states expand Medicaid?

The Affordable Care Act's (ACA) Medicaid expansion expanded Medicaid coverage to nearly all adults with incomes up to 138% of the Federal Poverty Level ($20,120 for an individual in 2023) and provided states with an enhanced federal matching rate (FMAP) for their expansion populations.

When did New York expand Medicaid?

The state accepted the ACA's provision to use federal funding to expand Medicaid in New York as of January 1, 2014, and between the fall of 2013 and October 2022, the state's total Medicaid enrollment grew by 29%, to more than 7.3 million people.

Did Florida expand Medicaid under ACA?

Did Florida implement ACA's Medicaid eligibility expansion? Florida is one of 11 states that has not expanded Medicaid eligibility as allowed under the Affordable Care Act (ACA). The ACA doesn't provide subsidies for people with income below the poverty level, because the law called for them to have Medicaid instead.

Optional Medicaid Expansion: Considerations Facing the States

15 related questions found

What states did not expand Medicaid?

Wyoming, Kansas, Texas, Wisconsin, Tennessee, Mississippi, Alabama, Georgia, South Carolina and Florida have yet to adopt the expansion of Medicaid, leaving over 2.1 million people in the “coverage gap” — meaning they fall into the income level that would make them eligible for Medicaid but cannot access it because ...

Why did Florida reject Medicaid expansion?

Gov. Ron DeSantis and state Republican leaders have long rejected expanding eligibility for Medicaid, pointing in part to concerns about potential future costs.

When did Massachusetts expand Medicaid?

Massachusetts was among the first states to implement such an initiative, establishing the MassHealth program in July 1997. Among other provisions, the program extended Medicaid eligibility to families and childless adults whose incomes fell below 200% and 133% of the federal poverty level, respectively.

When was Medicaid expanded in California?

California adopted Medicaid expansion through the Affordable Care Act (ACA). Enrollment began in October 2013, with coverage effective in January 2014. According to US Census data, the state's uninsured rate stood at 17.2% in 2013, and had dropped to 7.2% by 2017 (it remained at roughly that level in 2018 and in 2019).

Has Texas expanded Medicaid?

Since 2014, when the 2010 Affordable Care Act took effect, the gap between Texas' uninsured rate – the highest in the nation – and that of the U.S. has widened. Texas' percentage rose more or fell less each year. The state is one of 12 that have not expanded Medicaid. U.S.

Why has Wisconsin not expanded Medicaid?

Wisconsin Manufacturers & Commerce (WMC) opposes Medicaid expansion because “federal Medicaid dollars will decline over time, leaving state taxpayers responsible to pay for a large unfunded entitlement.” That is a reasonable worry.

Did North Carolina expand Medicaid?

North Carolina is the 40th state to expand Medicaid. “Medicaid expansion is a once-in-a-generation investment that will strengthen our mental health system, boost our rural hospitals, support working families and so much more,” said Governor Cooper.

Does Georgia have expanded Medicaid?

As of September 2022, total Medicaid/CHIP enrollment in Georgia was 58% higher than it had been in 2013, despite the fact that the state has not expanded Medicaid.

Which state is best for Medicaid?

Their research produced a top five states for Medicaid provision:
  • Connecticut.
  • New York.
  • California.
  • Massachusetts.
  • Minnesota.

What state has the most people on Medicaid?

Here are the 10 states with the highest Medicaid enrollment:
  • California - 12,668,401.
  • New York - 6,789,092.
  • Texas - 5,374,020.
  • Florida - 4,752,201.
  • Illinois - 3,504,288.
  • Pennsylvania - 3,393,728.
  • Ohio - 3,095,655.
  • Michigan - 2,884,050.

What is the largest Medicaid program?

California's Medicaid program, Medi-Cal, is the largest state Medicaid program in the nation. Insuring almost one-third of California's more than 38 million residents,1 Medi-Cal is a key source of health coverage in the state and the main source of coverage for low-income children, adults, and people with disabilities.

Can a 50 year old get Medicare?

Generally, Medicare is for people 65 or older. You may be able to get Medicare earlier if you have a disability, End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant), or ALS (also called Lou Gehrig's disease). Medicare has four parts: Part A (Hospital Insurance)

What year did Pennsylvania expand Medicaid?

Yes, Pennsylvania expanded Medicaid as of January 1, 2015, a year after coverage expansion first became available under the ACA.

When did Connecticut expand Medicaid?

In 2010, Connecticut was the first state to adopt the ACA's Medicaid expansion for low-income adults under age 65, and the state has incrementally expanded eligibility for Medicaid for other populations in the years since then.

Did Kentucky expand Medicaid?

With Medicaid expansion, Kentucky is now able to provide healthcare coverage to those who work, but do not have access to healthcare coverage through their employer or cannot afford coverage. Medicaid provides payments for services straight to healthcare providers who treat these individuals.

When was Medicaid established in Texas?

On July 30, 1965, President Lyndon B. Johnson signed into law legislation that established the Medicare and Medicaid programs. For 50 years, these programs have been protecting the health and well-being of millions of American families, saving lives, and improving the economic security of our nation.

Why is Medicaid expansion bad?

That may seem inconsequential. But by expanding Medicaid, states have dramatically increased the number of patients on the program's rolls. Meanwhile, the number of doctors willing to see those patients has largely stayed the same. That's a recipe for long waits—and ultimately poor health outcomes.

Does Biden want to expand Medicaid?

President Biden and Vice President Harris believe that health care should be a right, not a privilege. Together, they promised to protect and strengthen the ACA and Medicaid, lowering costs and expanding coverage so that every American has the peace of mind that health insurance brings.

Why is Medicaid expansion unconstitutional?

2 The most complex part of the Court's decision concerned the ACA's Medicaid expansion: a majority of the Court found the ACA's Medicaid expansion unconstitutionally coercive of states because states did not have adequate notice to voluntarily consent to this change in the Medicaid program, and all of a state's ...