Medicaid expansion by state
Whether your state expanded Medicaid to low-income adults under the ACA, and when.
General information only, not legal, insurance or financial advice. Not affiliated with any government agency. Rules have exceptions; open your state for details and the law it comes from.
41Yes
10No
51states and DC covered: 51 single detailed source
Medicaid expanded: map
- Yes (41)
- No (10)
Full table
| State | Expanded? | Since |
|---|---|---|
| Alabama Single detailed source | No | — |
| Alaska Single detailed source | Yes | Sept. 1, 2015 |
| Arizona Single detailed source | Yes | Jan. 1, 2014 |
| Arkansas Single detailed source | Yes | Jan. 1, 2014 |
| California Single detailed source | Yes | Jan. 1, 2014 |
| Colorado Single detailed source | Yes | Jan. 1, 2014 |
| Connecticut Single detailed source | Yes | Jan. 1, 2014 |
| Delaware Single detailed source | Yes | Jan. 1, 2014 |
| District of Columbia Single detailed source | Yes | Jan. 1, 2014 |
| Florida Single detailed source | No | — |
| Georgia Single detailed source | No | — |
| Hawaii Single detailed source | Yes | Jan. 1, 2014 |
| Idaho Single detailed source | Yes | Jan. 1, 2020 (ballot measure, 2018) |
| Illinois Single detailed source | Yes | Jan. 1, 2014 |
| Indiana Single detailed source | Yes | Feb. 1, 2015 |
| Iowa Single detailed source | Yes | Jan. 1, 2014 |
| Kansas Single detailed source | No | — |
| Kentucky Single detailed source | Yes | Jan. 1, 2014 |
| Louisiana Single detailed source | Yes | July 1, 2016 |
| Maine Single detailed source | Yes | Jan. 10, 2019 (ballot measure, 2017) |
| Maryland Single detailed source | Yes | Jan. 1, 2014 |
| Massachusetts Single detailed source | Yes | Jan. 1, 2014 |
| Michigan Single detailed source | Yes | April 1, 2014 |
| Minnesota Single detailed source | Yes | Jan. 1, 2014 |
| Mississippi Single detailed source | No | — |
| Missouri Single detailed source | Yes | Oct. 1, 2021 (ballot measure, 2020) |
| Montana Single detailed source | Yes | Jan. 1, 2016 |
| Nebraska Single detailed source | Yes | Oct. 1, 2020 (ballot measure, 2018) |
| Nevada Single detailed source | Yes | Jan. 1, 2014 |
| New Hampshire Single detailed source | Yes | Aug. 15, 2014 |
| New Jersey Single detailed source | Yes | Jan. 1, 2014 |
| New Mexico Single detailed source | Yes | Jan. 1, 2014 |
| New York Single detailed source | Yes | Jan. 1, 2014 |
| North Carolina Single detailed source | Yes | Dec. 1, 2023 |
| North Dakota Single detailed source | Yes | Jan. 1, 2014 |
| Ohio Single detailed source | Yes | Jan. 1, 2014 |
| Oklahoma Single detailed source | Yes | July 1, 2021 (ballot measure, 2020) |
| Oregon Single detailed source | Yes | Jan. 1, 2014 |
| Pennsylvania Single detailed source | Yes | Jan. 1, 2015 |
| Rhode Island Single detailed source | Yes | Jan. 1, 2014 |
| South Carolina Single detailed source | No | — |
| South Dakota Single detailed source | Yes | July 1, 2023 (ballot measure, 2022) |
| Tennessee Single detailed source | No | — |
| Texas Single detailed source | No | — |
| Utah Single detailed source | Yes | Jan. 1, 2020 (ballot measure, 2018) |
| Vermont Single detailed source | Yes | Jan. 1, 2014 |
| Virginia Single detailed source | Yes | Jan. 1, 2019 |
| Washington Single detailed source | Yes | Jan. 1, 2014 |
| West Virginia Single detailed source | Yes | Jan. 1, 2014 |
| Wisconsin Single detailed source | No | — |
| Wyoming Single detailed source | No | — |
How we checked this
Status comes from KFF's state tracker of Medicaid expansion decisions, as of November 2026. Last checked: November 12, 2026. Laws change; confirm with the state agency or a licensed professional before acting.
Cross-checked sources agree Checked on official source confirmed on a government, court or legislature site Single detailed source one detailed table built from statutes or official data Under review sources disagree; read the note and the law.