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Alabama: medicaid expansion

Whether your state expanded Medicaid to low-income adults under the ACA, and when.

Single detailed source
Medicaid expanded?No
Coverage began—
Law ends expansion if federal funding drops?—

Expansion covers most adults with incomes up to 138% of the federal poverty level. Federal work requirements for expansion adults begin in January 2027. In non-expansion states, many low-income adults fall into a coverage gap.

General information only, not legal, insurance or financial advice. Not affiliated with any government agency. Exceptions can apply. Confirm with the state agency, the court or a licensed professional in Alabama.

How Alabama compares

10 of 51 states and DC share this answer (No): Florida, Georgia, Kansas, Mississippi, South Carolina, Tennessee, Texas, Wisconsin, Wyoming.

Also for Alabama: Malpractice rules in Alabama · Small claims limits in Alabama · Small estate limits in Alabama · Debt time limits in Alabama · Shared fault rules in Alabama · ACA marketplace in Alabama · Claim deadlines in Alabama · Estate and inheritance tax in Alabama · All Alabama rules on one page

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.