Status of State Action on the Medicaid Expansion Decision
This data is presented as an interactive tool that allows users to: filter by timeframe/year, select specific data columns (distributions), filter by state or geography, and view the data as a table, map, or trend chart.
May 2026
| Location | Status of Medicaid Expansion Decision | Expansion Implementation Date | Expansion Adopted Through Ballot Initiative | Trigger Law In Place |
|---|---|---|---|---|
| United States | Adopted: 41 states (incl. DC) <br> Not Adopted: 10 states | Yes: 7 states <br> No: 34 states (incl. DC) <br> Not Adopted: 10 states | Yes: 13 states <br> No: 28 states (incl. DC) <br> Not Adopted: 10 states | |
| Alabama | Not Adopted | N/A | N/A | |
| Alaska | Adopted | 9/1/2015 | No | No |
| Arizona | Adopted | 1/1/2014 | No | Yes |
| Arkansas | Adopted | 1/1/2014 | No | Yes |
| California | Adopted | 1/1/2014 | No | No |
| Colorado | Adopted | 1/1/2014 | No | No |
| Connecticut | Adopted | 1/1/2014 | No | No |
| Delaware | Adopted | 1/1/2014 | No | No |
| District of Columbia | Adopted | 1/1/2014 | No | No |
| Florida | Not Adopted | N/A | N/A | |
| Georgia | Not Adopted | N/A | N/A | |
| Hawaii | Adopted | 1/1/2014 | No | No |
| Idaho | Adopted | 1/1/2020 | Yes (November 2018) | Yes |
| Illinois | Adopted | 1/1/2014 | No | Yes |
| Indiana | Adopted | 2/1/2015 | No | Yes |
| Iowa | Adopted | 1/1/2014 | No | Yes |
| Kansas | Not Adopted | N/A | N/A | |
| Kentucky | Adopted | 1/1/2014 | No | No |
| Louisiana | Adopted | 7/1/2016 | No | No |
| Maine | Adopted | 1/10/2019 | Yes (November 2017) | No |
| Maryland | Adopted | 1/1/2014 | No | No |
| Massachusetts | Adopted | 1/1/2014 | No | No |
| Michigan | Adopted | 4/1/2014 | No | No |
| Minnesota | Adopted | 1/1/2014 | No | No |
| Mississippi | Not Adopted | N/A | N/A | |
| Missouri | Adopted | 10/1/2021 | Yes (August 2020) | No |
| Montana | Adopted | 1/1/2016 | No | Yes |
| Nebraska | Adopted | 10/1/2020 | Yes (November 2018) | No |
| Nevada | Adopted | 1/1/2014 | No | No |
| New Hampshire | Adopted | 8/15/2014 | No | Yes |
| New Jersey | Adopted | 1/1/2014 | No | No |
| New Mexico | Adopted | 1/1/2014 | No | Yes |
| New York | Adopted | 1/1/2014 | No | No |
| North Carolina | Adopted | 12/1/2023 | No | Yes |
| North Dakota | Adopted | 1/1/2014 | No | No |
| Ohio | Adopted | 1/1/2014 | No | Yes |
| Oklahoma | Adopted | 7/1/2021 | Yes (June 2020) | No |
| Oregon | Adopted | 1/1/2014 | No | No |
| Pennsylvania | Adopted | 1/1/2015 | No | No |
| Rhode Island | Adopted | 1/1/2014 | No | No |
| South Carolina | Not Adopted | N/A | N/A | |
| South Dakota | Adopted | 7/1/2023 | Yes (November 2022) | No |
| Tennessee | Not Adopted | N/A | N/A | |
| Texas | Not Adopted | N/A | N/A | |
| Utah | Adopted | 1/1/2020 | Yes (November 2018) | Yes |
| Vermont | Adopted | 1/1/2014 | No | No |
| Virginia | Adopted | 1/1/2019 | No | Yes |
| Washington | Adopted | 1/1/2014 | No | No |
| West Virginia | Adopted | 1/1/2014 | No | No |
| Wisconsin | Not Adopted | N/A | N/A | |
| Wyoming | Not Adopted | N/A | N/A |