Medicaid Expansion

The Affordable Care Act provides states additional federal funding to expand their Medicaid programs for adults under 65. Some states have expanded their Medicaid programs to cover all people with household incomes below a certain level, while others haven't.

Whether you qualify for Medicaid coverage depends partly on whether your state has expanded its program.

• In all states you can qualify for Medicaid based on income, household size, disability, family status, and other factors. Eligibility rules differ among states.

• In states that have expanded Medicaid coverage (listed below) you can qualify based on your income alone. If your household income is below 133% of the federal poverty level (FPL), you qualify. Because of the way this is calculated, it turns out to be 138% of the federal poverty level. A few states use a different income limit.

  • 39 states have expanded Medicaid:

• Alaska

• Arizona

• Arkansas

• California

• Colorado

• Connecticut

• Delaware

• District of Columbia

• Hawaii

• Idaho

• Illinois

• Indiana

• Iowa

• Kentucky

• Louisiana

• Maine

• Maryland

• Massachusetts

• Michigan

• Minnesota

• Missouri

• Montana

• Nebraska

• Nevada

• New Hampshire

• New Jersey

• New Mexico

• New York

• North Dakota

• Ohio

• Oklahoma

• Oregon

• Pennsylvania

• Rhode Island

• Utah

• Vermont

• Virginia

• Washington

• West Virginia

Learn about the Status of State Action on the Medicaid Expansion Decision.

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