State Level

Prior KFF analysis allocated CBO’s federal Medicaid spending reductions and enrollment losses across the states, and this policy watch builds on that analysis to examine the potential impacts in expansion states compared with non-expansion states.

This analysis of enrollment in Affordable Care Act (ACA) Marketplace health plans finds a record 24.3 million people enrolled in 2025, more than double the total in 2020, with most of the growth occurring in states won by President Trump in the 2024 election. In six states, enrollment more than tripled from 2020 to 2025: Texas, Mississippi, West Virginia, Louisiana, Georgia, and Tennessee.

Enrollment in Affordable Care Act (ACA) Marketplace health plans reached a record 24.3 million people, more than double the total in 2020, with most of the growth occurring in states won by President Trump in the 2024 election, a new KFF analysis finds.  Almost all states have seen increases in…

This page displays an interactive map of the current status of state decisions on the Affordable Care Act’s Medicaid expansion. Additional Medicaid expansion resources are listed (with links) below the map.

The uninsured rate increased in 36 states in 2017, including some that expanded Medicaid. In KFF’s Chart of the Week, explore the uninsured rate increases and decreases for all 50 states.

While drug overdose deaths have declined nationally and in most states, 19 states have seen increases since 2017.

Implementation of state stay-at-home orders in response to the coronavirus pandemic have been staggered. Here’s a timeline of when each state’s mandates went into effect as cases climbed across the United States. Learn more in this Chart of the Week.

States are making varied gains in testing their populations for coronavirus. In this Chart of the Week, see how the number of tests with results has changed across states’ populations since April 28, 2020.