Where States Stand on Medicaid Expansion

Updated Jan. 5, 2022

The map tracks implementation of the Affordable Care Act’s Medicaid expansion in all states. The map indicates whether states are using alternative approaches through demonstration waivers, and also features information about state legislation or citizen referendums, governors’ stances, and other analyses. Expanding Medicaid increases coverage for people earning up to 138 percent of the federal poverty level.

*This map provides a record of legislation introduced, but does not track the exact status of bills moving through state legislatures. The map is updated when bills advance and/or become law.
For information about state proposals to implement Medicaid work requirements, explore this chart.
Know something NASHP should add to this map? Please email

Copyright © 2019, by The National Academy for State Health Policy. All rights reserved. May not be published or otherwise distributed without explicit permission | Privacy Policy | Terms Of Use