Map: Where States Stand on Medicaid Expansion Decisions
*Map updated July 10, 2015
This map tracks state Medicaid expansion decisions and approaches states are taking for expanding eligibility to 138 percent of the Federal Poverty Level (FPL). This map also includes information on 2015 and 2014 state legislative activity around Medicaid expansion {1}, the Governor’s stance on the issue, and fiscal and demographic analyses from the state or other institutions. For states that are expanding Medicaid, but using an alternative to traditional expansion, the map also contains brief descriptions of these demonstration waivers.
Like all State Refor(u)m research, this map is a collaborative effort with you, the user. State Refor(u)m captures the health reform comments, documents, and links submitted by health policy thinkers and doers all over the country. And our team periodically supplements, analyzes, and compiles this key content.
Know of something we should add to this compilation? Your feedback is central to our ongoing, real-time analytical process, so tell us in a comment, or email acardwell@oldsite.nashp.org.
Like all State Refor(u)m research, this map is a collaborative effort with you, the user. State Refor(u)m captures the health reform comments, documents, and links submitted by health policy thinkers and doers all over the country. And our team periodically supplements, analyzes, and compiles this key content.
Know of something we should add to this compilation? Your feedback is central to our ongoing, real-time analytical process, so tell us in a comment, or email acardwell@oldsite.nashp.org.
HIAKFLSCGAALNCTNMENYPAWVKYOHMIWYMTIDWATXCAAZNVUTCONMORNDSDNEIAMSINILMNWIMOAROKKSLAVAVTNHMARICTNJDEMDDCMT
Produced by:
Key:
21 states are not expanding Medicaid
23 states (count includes the District of Columbia) are expanding Medicaid
6 states are expanding Medicaid, but using an alternative to traditional expansion
1 state is expanding Medicaid; pending federal waiver approval
{1} This map provides a record of legislation introduced, but does not track the exact status of bills moving in state legislatures. Map is updated when bills pass chambers and/or are signed by the Governor.
{2} CMS approved WI’s proposal to modify existing Medicaid eligibility; under the waiver, all childless adults ages 19-64 with income up to 100% FPL will be covered through BadgerCare Plus beginning 4/1/14.
Map produced by Anita Cardwell and Kaitlin Sheedy
{2} CMS approved WI’s proposal to modify existing Medicaid eligibility; under the waiver, all childless adults ages 19-64 with income up to 100% FPL will be covered through BadgerCare Plus beginning 4/1/14.
Map produced by Anita Cardwell and Kaitlin Sheedy
Related categories:
Topics:
Click on a state to view the status of Medicaid expansion, including:
Type of Expansion
Traditional: State is implementing Medicaid expansion as outlined in the ACA
Alternative to traditional expansion: State is using a demonstration waiver to expand Medicaid
N/A: State is not expanding Medicaid at this time
Governor’s Stance on Expansion
Indicates whether the current Governor is against or supportive of Medicaid expansion
2015 Legislative Activity
View bills introduced in 2015 related to expansion.
2014 Legislative Activity
View bills introduced in 2014 related to expansion.
Fiscal and Demographic Analyses
Includes state-specific analyses related to Medicaid expansion, conducted directly by a government agency, contracted out by the state to another institution, or conducted by organizations or institutions independent of the state.
For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 
