Which 10 states have not expanded Medicaid?
Asked by: Prof. Hershel Hintz | Last update: September 29, 2025Score: 4.2/5 (44 votes)
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.
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.
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.”
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.
Implications of State Decisions to Expand or Not Expand Medicaid
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 is it hard to get Medicaid in Florida?
Adults under 65 who aren't disabled or caring for minor children are not eligible for Medicaid regardless of how low their income is, because Florida hasn't expanded Medicaid under the ACA.
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.
Is Texas not expanding Medicaid?
To date, however, 10 states, including Texas, have not adopted the Medicaid expansion to increase insurance coverage. The result is that regardless of their income, Texans younger than 65 who aren't disabled or a child are ineligible for Medicaid.
What states offer free health insurance?
What state has the best government healthcare?
- Hawaii.
- Massachusetts.
- Connecticut.
- Rhode Island.
- Vermont.
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 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.
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?
- State-operated fee-for-service (FFS)
- Primary care case management (PCCM)
- Comprehensive risk-based managed care (MCO model)
- Limited-benefit plans.
Which state has the most Medicaid?
As of May 2021, over five million children were enrolled in Medicaid/CHIP programs in California, more than any other state. As of January 2021, the median Medicaid/CHIP eligibility level for children was 255 percent of the federal poverty level.
What states have refused Medicaid expansion?
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.
Why is it so hard to get Medicaid in Texas?
Texas has not expanded Medicaid under the Affordable Care Act (ACA). As a result, Texas has the biggest coverage gap in the country, with an estimated 772,000 residents ineligible for Medicaid and also ineligible for premium subsidies to offset the cost of private coverage in the exchange.
Is Medicaid expansion good or bad?
Medicaid expansion under the Affordable Care Act represents an important and historic step toward mitigating health insurance–related disparities, likely improving access, reducing patient financial strain, and possibly improving health status.
Why do so many doctors not accept Medicaid?
One reason is that reimbursement rates for Medicaid are lower than for Medicare or commercial insurance. Another (often overlooked) factor, however, is physician's risk of payment denials and the administrative hassle they face trying to get reimbursed by Medicaid.
Why are people against Medicaid?
Conservatives view Medicaid as “just another welfare program,” this time hiding in health care clothes. Their view is that welfare programs, including Medicaid, have caused more harm than good by promoting dependency and using taxpayer dollars unwisely.
Is there a downside to getting Medicaid?
Disadvantages of Medicaid
They will have a decreased financial ability to opt for elective treatments, and they may not be able to pay for top brand drugs or other medical aids. Another financial concern is that medical practices cannot charge a fee when Medicaid patients miss appointments.
Is Florida getting rid of Medicaid?
The CAA makes the continued Medicaid coverage end on March 31, 2023, instead of the end of the Public Health Emergency (which is still in effect). Now that the continuous Medicaid coverage is ending, Florida's Department of Children and Families (DCF) will start reviewing every person who uses Medicaid insurance.
Is Medicaid good in all 50 states?
No. Because each state has its own Medicaid eligibility requirements, you can't just transfer coverage from one state to another, nor can you use your Medicaid coverage when you're temporarily visiting another state, unless you need emergency health care.
How long do you have to live in Florida to get Medicaid?
Citizenship and Residency: Applicants must be U.S. citizens or qualified aliens (legal permanent residents for at least five years). Proof of citizenship or qualified alien status is required. Florida residency must be established, and documentation like a valid Florida ID or utility bills may be needed.