As time has passed, more states have discussed Medicaid expansion, and in turn, more states have implemented the program. With its passage health insurance is being extended to 30 million Americans through two major mechanisms – the expansion of Medicaid and the public exchanges. Beginning in 2010 and extending into 2020 legislative guidelines are being followed for its massive implementation into society. In late 2013, we shared data from the Kaiser Family Foundation’s Status of State Action on the Medicaid Expansion Decision, highlighting the changes set to take place on January 1, 2014. We've updated the map to show the changes since the initial expansion. Adoption Since 1/1/2014: Michigan: 4/1/2014 New Hampshire: 8/15/2014 Pennsylvania: 1/1/2015 Indiana: 2/1/2015 Alaska: 9/1/2015 Montana: 1/1/2016 Louisiana Signed 1/12/2016, yet to take effect. States Considering Medicaid Expansion for 2017 South Dakota: South Dakota's Governor has announced his conditional support for the Medicaid expansion as part of his FY 2017 budget proposal. Virginia: Virginia's Governor has included Medicaid expansion as part of his FY 2017 budget proposal. Wyoming: Continuing discussion regarding Medicaid expansion. Governor advocating for expansion, Legislature considering proposals. States Not Moving Forward at This Time Alabama, Florida, Georgia, Idaho, Kansas, Maine, Mississippi, Nebraska, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Utah Note: Wisconsin covers adults up to 100% FPL in Medicaid but did not adopt the ACA expansion.

1. AL GA
SC
NCTN
AR
MS
LA
TX
HI
AK
NMAZ
UT
NV
CA
OR
WA
ID
MT ND
MN
IA
WI
MI
SD
NE
WY
CO
KS MO
IL IN OH
WV VA
VT
DC
MD
DE
NJ
CT
RI
NH
MA
PA
NY
ME
OK
KY
FL
Where Does Your State Stand on the Medicaid Expansion Decision?
Source: The Kaiser Family Foundation State Health Factswww.evolution1.com/healthcare-trends-institute
Moving forward with Medicaid
expansion decision
Not moving forward with
Medicaid expansion at this time
Adoption of the Medicaid
expansion under Discussion