Current Status of State Individual Marketplace and Medicaid Expansion Decisions WY WI WV WA VA VT UT* TX TN SD SC RI PA OR* OK OH ND NC NY NM* NJ NH NV* NE* MT MO MS MN MI MA MD ME LA KY* KS IA IN IL ID* HI GA FL DC DE CT CO CA AR* AZ AK AL State-Based Marketplace and Adopted the Medicaid Expansion (17 States including DC) Federally-Facilitated or Partnership Marketplace and Has Not Adopted the Medicaid Expansion (14 States) Federally-Facilitated or Partnership Marketplace and Adopted the Medicaid Expansion (20 States) NOTES: *AR, KY, NM, NV, and OR are state-based Marketplaces using the federal healthcare.gov platform. Medicaid expansion is adopted but not yet implemented in ID, NE, and UT. SOURCE: State Decisions on Health Insurance Marketplaces and the Medicaid Expansion, KFF State Health Facts, updated February 13, 2019. http://kff.org/health-reform/state-indicator/state-decisions-for-creating-health-insurance-exchanges-and-expanding-medicaid/.