This document maps out each U.S. state's response and stance regarding key aspects of the Affordable Care Act, also known as Obamacare, including whether they have decided to expand Medicaid, who will run their health insurance exchange, and whether they are plaintiffs in any lawsuits against the law. The maps show that 25 states have decided to expand Medicaid, 20 have not, and 6 are uncertain. 18 states will run their own exchange, 7 as a state-federal partnership, and 26 will default to the federal exchange. 27 states in total are involved in lawsuits against Obamacare.

1. Tracking the States’ Responses
to Obamacare
HERITAGE.ORG

2. Tracking the States’ Responses to Obamacare
DECISION TO EXPAND ■ Expanding Medicaid (25)
MEDICAID ■ Not expanding Medicaid (20)
■ Uncertain (6)
WA
VT NH
MT ME
ND
OR MN
ID
SD WI NY MA
WY MI RI
IA PA CT
NV NE
OH NJ
UT IL IN
CO DE
CA WV
KS MO VA MD
KY
DC
NC
AZ TN
NM OK
AR SC
MS AL GA
TX LA
AK
FL
HI
Note: States categories are based on governors’ proposed budgets and statements made by heritage.org
governors as of March 12, 2013. Decisions on Medicaid expansion are subject to change.

3. Tracking the States’ Responses to Obamacare
WHO RUNS HEALTH ■ State (18)
CARE EXCHANGE ■ State/federal partnership (7)
■ Federal (26)
WA
VT NH
MT ME
ND
OR MN
ID
SD WI NY MA
WY MI RI
IA PA CT
NV NE
OH NJ
UT IL IN
CO DE
CA WV
KS MO VA MD
KY
DC
NC
AZ TN
NM OK
AR SC
MS AL GA
TX LA
AK
FL
HI
heritage.org

4. Tracking the States’ Responses to Obamacare
OBAMACARE LAWSUIT ■ Plaintiffs in lawsuits against
Obamacare (27 total)
WA
VT NH
MT ME
ND
OR MN
ID
SD WI NY MA
WY MI RI
IA PA CT
NV NE
OH NJ
UT IL IN
CO DE
CA WV
KS MO VA MD
KY
DC
NC
AZ TN
NM OK
AR SC
MS AL GA
TX LA
AK
FL
HI
Note: Oklahoma and Virginia filed separate suits against the federal government. heritage.org
The rest of the plaintiffs joined Florida’s suit.