District of Columbia: medicaid expansion
Whether your state expanded Medicaid to low-income adults under the ACA, and when.
Single detailed source| Medicaid expanded? | Yes |
|---|---|
| Coverage began | Jan. 1, 2014 |
| Law ends expansion if federal funding drops? | No |
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 District of Columbia.
How District of Columbia compares
41 of 51 states and DC share this answer (Yes): Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, 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 Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Dakota, Utah, Vermont, Virginia, Washington, West Virginia.
- Yes (41)
- No (10)
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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.