1. Current Status of State Medicaid Expansion DecisionsWY
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
Adopted (33 States including DC)
Not Adopting At This Time (18 States)
NOTES: Current status for each state is based on KFF tracking and analysis of state executive activity. *AR, AZ, IA, IN, MI, MT, and NH have approved Section 1115 waivers. ◊ME adopted the Medicaid expansion through a ballot initiative in November 2017; the ballot measure requires submission of a state plan amendment within 90 days and implementation of expansion within 180 days of the measure’s effective date. ◊WI covers adults up to 100% FPL in Medicaid, but did not adopt the ACA expansion. ^Non-expansion states with legislative or administrative activity to pursue expansion in 2017; Includes states in which the governor is actively pursuing expansion, a bill to expand Medicaid has been approved in at least one house of the legislature, or the decision to expand will be up to voters in a state referendum. See table below for additional details on state expansion and expansion waiver activity.