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Current Status of State Medicaid Expansion Decisions, as of September 16, 2013 WY WI WV WA VA VT UT TX TN1 SD SC RI PA1 OR OK OH ND NC NY NM NJ NH2 NV NE MT2 MO MS MN MI1 MA MD ME LA KY KS IA1 IN IL ID HI GA FL2 DC DE CT CO CA AR1 AZ AK AL Moving Forward at this Time (26 States including DC) Debate Ongoing (3 States) Not Moving Forward at this Time (22 States) NOTES: 1 - Exploring an approach to Medicaid expansion likely to require waiver approval. 2- Discussion of a special session being called on the Medicaid expansion. SOURCES: Based on KCMU analysis of recent news reports, executive activity and legislative activity in states. Data reported here are as of September 16. It is important to note that per CMS guidance, there is no deadline for states to implement the Medicaid expansion. Requirements for legislation to implement the Medicaid expansion vary across states.