Tracking Medicaid Expansion Decisions

At State Refor(u)m, we are continuing to track state Medicaid expansion decisions and activities. This chart includes direct links to statements from the governor or executive branch, activity in the state legislature, and fiscal and demographic analyses from the state or other institution.
Like all State Refor(u)m research, this chart 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.
Do you know of state activity or analyses that we should add to this compilation? Eager to update a fact we’ve included? Your feedback is central to our ongoing, real-time analytical process, so tell us in a comment below, or email the author with your suggestion. She can be reached at ksheedy@oldsite.nashp.org.
*Chart updated May 9, 2013
 

Visit this new version of the chart for additional information such as details about key elements of Medicaid expansion bills that have been introduced in state legislatures and where states stand on expansion decisions.

State	Percentage of Poor Adults Who are Uninsured1	History of Subsidized Coverage2		Governor or Executive Branch Activity	Activity in the Legislature	Fiscal and Demographic Analysis3
	Adults ages 19-64 under 100% FPL who do not have health insurance coverage	States that have provided coverage financed through Medicaid above the federal minimum at some point in time to adults without children.	States that have provided coverage financed through Medicaid above the federal minimum at some point in time to both employed and unemployed parents.	Announcement regarding the state’s Medicaid expansion decision from a governor in the state’s budget, state of the state address, other official statement or news article.	State bills related to Medicaid expansion moving forward in the legislature.  May also include city or county legislative materials.	Conducted directly by a government agency or contracted out by the state to another institution.
							Conducted by organizations and institutions independent of the state.
		Childless Adults	Parents			State Government	Other
AL	44%			Governoragainst expansion	Proposed bill (SB 259) to expand Medicaid		F
AK	44%		X	Governor againstexpansion	House resolution (HCR 8) to expand Medicaid	F	F
AZ	40%	X	X	Governor supportsexpansion	Proposed bill to expand Medicaid	F, F, F	F
AR	50%	X		Governor supportsexpansion	Proposed bills (SB 1020, HB 1143) to expand Medicaid eligibility through the exchange	F,F, F, F	F
CA	47%	X	X	Governor supportsexpansion	Proposed bill (AB 1X-1) to expand Medicaid eligibility	F	F, F
CO	45%	X	X	Governor supportsexpansion	Proposed Senate bill (SB-12-200) to expand Medicaid		D, F, F
CT	31%	X	X	Governor supportsexpansion
DE	30%	X	X	Governor supportsexpansion
DC	26%	X	X	Mayor supports expansion
FL	54%			Governorsupports expansion	Proposed bill (SPB 7038) to create an alternative to Medicaid expansion	F, F, F, F	F, F
GA	52%			Governor againstexpansion	Senate proposed resolution to expand Medicaid Senate passed HR 107, to create a committee to study Medicaid reform		F
HI	25%	X	X		Proposed bills (HCR147, SCR 153, SR 112) to support Medicaid expansion
ID	54%	X		Governor againstexpansion		F , F, D, D
IL	45%		X	Governor supportsexpansion	House and Senate filed a bill (HB 106 and SB 26) to expand Medicaid
IN	37%	X		Governor againstexpansion	Senate approved SB551to block grant Medicaid program	F	F
IA	37%	X		Governor againstexpansion	Proposed bill (House File 232) to expand Medicaid through the Healthy Iowa Plan Senate passed SF 291 to expand Medicaid	F
KS	43%			Governor undecided on expansion	Proposed House Concurrent Resolution No. 5013 against Medicaid expansion Proposed House bill (HB 2032) to support Medicaid expansion	F, F	F, F, F
KY	41%			Governorsupports expansion
LA	51%			Governor againstexpansion		F
ME	24%	X	X	Governor undecided on expansion			F
MD	38%	X	X	Governor supportsexpansion	Two Administration bills proposed to expand Medicaid: SB 274 andHB 228	F
MA	12%	X	X	Governor supportsexpansion
MI	37%	X	X	Governor supportsexpansion			F, F
MN	33%	X	X	Governor supportsexpansion	Governor signed a bill (HF9) to expand Medicaid	F
MS	48%			Governor againstexpansion		F	F, F
MO	42%	X		Governor supportsexpansion	Proposed House bill (HB 627) to expand Medicaid Senate bill proposed to reduce Medicaid eligibility levels		F, F, F, F
MT	52%		X	Governor supportsexpansion	Proposed bill (HB590) to expand Medicaid eligibility level Proposed House bill (HB458) to implement Medicaid expansion	F, F
NE	38%		X	Governor againstexpansion	Proposed bill to expand Medicaid (LB 577)	F	F
NV	55%		X	Governor supportsexpansion
NH	39%		X	Governor supportsexpansion	Proposed bill (HB 271) to prevent Medicaid expansion	F, F
NJ	46%	X	X	Governor supportsexpansion	Proposed bill (SB 2644) to include Medicaid expansion Senate Concurrent Resolution No. 132 proposed to expand Medicaid
NM	49%	X	X	Governor supportsexpansion
NY	31%	X	X
NC	47%			Governoragainst expansion	Proposed Senate bill (SB4) against Medicaid expansion
ND	42%		X	Governor supportsexpansion	Governor proposed billto expand Medicaid House passed bill (HB 1362) to allow the Department of Human Services to accept funding for expansion
OH	39%		X	Governor supportsexpansion		F, F	F, F
OK	48%	X	X	Governor againstexpansion	Proposed bill (SB 777) to mandate Medicaid expansion
OR	41%	X	X				F
PA	31%			Governoragainst expansion		F	F, F, F, D
RI	38%		X	Governor supportsexpansion
SC	49%		X	Governor againstexpansion	House voted to rejectMedicaid expansion	F
SD	45%		X	Governor againstexpansion
TN	37%		X	Governoragainst expansion	Proposed bill (HB 82) to prevent Medicaid expansion		F
TX	58%			Governor againstexpansion	Proposed bill (SB 3791) to create an alternative way to Medicaid expansion Senate Joint Resolution (SJR) 8 proposing a constitutional amendment to require Texas to expand Medicaid		F, F
UT	40%	X	X	Governor undecided on expansion	Proposed bill (HB 153) to expand Medicaid		F
VT	24%	X	X
VA	44%		X	Governor againstexpansion	General Assembly passed a budget bill (HB 1500) with amendments providing for Medicaid expansion under certain conditions Proposed resolution in the city of Charlottesville, VA to expand Medicaid	F	F, F, F
WA	42%	X	X	Governor supportsexpansion	Proposed bill (SB 5894) to expand Medicaid
WV	36%			Governorsupports expansion		F, F
WI	35%	X	X	Governor againstexpansion	Proposed bill (SB 38) to expand Medicaid	F
WY	49%		X	Governor undecided on expansion	Proposed bill to change Medicaid eligibility levels for pregnant women and children to comply with the ACA but prevent further expansion of Medicaid Proposed bill to expand Medicaid	F, F, F

Notes:
¹ Based on Statehealthfacts.org, Health Insurance Coverage of Adults 19-64 Living in Poverty (under 100% FPL), states (2010-2011), U.S. (2011). Accessed December 2012.
²Based on Statehealthfacts.org, Medicaid Income Eligibility Limits for Adults as a Percent of Federal Poverty Level, July 2012. Accessed December 2012.
³The letter “F” in a column indicates a Fiscal Analysis and the letter “D” in a column indicates a Demographic Analysis.
Chart produced by: Kaitlin Sheedy and Sonya Schwartz, National Academy for State Health Policy
Contributions by Shuchita Madan, Medicaid Health Plans of America