Where States Stand on Medicaid Expansion
Updated December 2022
The map tracks implementation of the Affordable Care Act’s Medicaid expansion in all states (to date, 39 states and DC have adopted the expansion, and 11 have not). The map indicates whether states are using alternative approaches through demonstration waivers, and also features information about state legislation or citizen referendums, governors’ stances, and other analyses. Expanding Medicaid increases coverage for people earning up to 138 percent of the federal poverty level.
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. 
