The Affordable Care Act sought to make Medicaid available to all individuals earning up to 100% of the Federal Poverty Level (FPL). However, not all states have expanded their Medicaid programs accordingly. Currently, 28 States and the District of Columbia have expanded their Medicaid program to cover those earning up to 100% of the FPL. These states include Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Hawaii, Illinois, Iowa, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Dakota, Ohio, Oregon, Pennsylvania Rhode Island, Utah Vermont, Washington, and West Virginia.
Twenty-two (22) States have determined that they are not going to expand their Medicaid offering at this point. Those states include Alabama, Alaska, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Mississippi, Missouri, Montana, Nebraska, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Utah, Virginia, Wisconsin, and Wyoming.