{"id":647031,"date":"2026-02-13T16:45:00","date_gmt":"2026-02-13T21:45:00","guid":{"rendered":""},"modified":"2026-02-13T16:45:03","modified_gmt":"2026-02-13T21:45:03","slug":"status-of-state-medicaid-expansion-decisions","status":"publish","type":"post","link":"https:\/\/www.kff.org\/medicaid\/status-of-state-medicaid-expansion-decisions\/","title":{"rendered":"Status of State Medicaid Expansion Decisions"},"content":{"rendered":"<div\n\tclass=\"no-sidebar wp-block-kff-shared-content--full-width wp-block-kff-shared-content\">\n\t\n\n<section class=\"wp-block-kff-shared-content-main\">\n\t\t\t<div class=\"post-header\">\n\t\t\t\t\t\n\t<h1 class=\"post-header__title\">Status of State Medicaid Expansion Decisions<\/h1>\n\n\t\n\t\t\t<div class=\"post-header__meta\">\n\t\t\t\t<div>\n\t\t\t<span class=\"post-header__meta-label\">Published:<\/span>\n\t\t\t<date>Feb 13, 2026<\/date>\n\t\t<\/div>\n\t\t<\/div>\n\t\n\t<div class=\"post-header__social-sharing\">\n\t\t<button class=\"post-header__social-sharing__button print\">\n\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n\t\t\t\t<path d=\"M4.348 2.5v3.391H2.783A.787.787 0 0 0 2 6.674v4.696c0 .429.353.782.783.782h1.565V14.5h7.304v-2.348h1.565c.43 0 .783-.353.783-.782V6.674a.787.787 0 0 0-.783-.783h-1.565V2.5H4.348Zm.522.522h6.26v2.87H4.87v-2.87ZM2.783 6.413h1.782a.26.26 0 0 0 .085 0h6.697a.26.26 0 0 0 .086 0h1.784c.148 0 .261.114.261.26v4.697c0 .147-.113.26-.26.26h-1.566V9.283H4.348v2.347H2.783a.257.257 0 0 1-.261-.26V6.674c0-.147.113-.261.26-.261Zm9.39.783a.522.522 0 1 0 0 1.043.522.522 0 0 0 0-1.043ZM4.87 9.804h6.26v2.043a.264.264 0 0 0 0 .086v2.045H4.87v-2.043a.261.261 0 0 0 0-.085V9.804Zm1.043.783a.262.262 0 0 0-.265.26.26.26 0 0 0 .265.262h4.174a.26.26 0 1 0 0-.522H5.913Zm0 1.043a.26.26 0 1 0 0 .522h3.13a.26.26 0 1 0 0-.522h-3.13Zm0 1.044a.26.26 0 1 0 0 .522h4.174a.262.262 0 0 0 .264-.261.26.26 0 0 0-.264-.261H5.913Z\" fill=\"#004B88\" stroke=\"#004B88\" stroke-width=\".5\"\/>\n\t\t\t<\/svg>\n\n\t\t\tPrint\t\t<\/button>\n\t\t<a href=\"mailto:?subject=Status%20of%20State%20Medicaid%20Expansion%20Decisions&#038;body=https%3A%2F%2Fwww.kff.org%2Fmedicaid%2Fstatus-of-state-medicaid-expansion-decisions%2F\" class=\"post-header__social-sharing__button\">\n\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n\t\t\t\t<path d=\"M2.333 4.25h-.25v9.14h12.5V4.25H2.333Zm1.083 1.693-.353-.2V5.23h10.54v.513l-.353.2L8.333 8.73 3.416 5.943Zm-.353 6.467V6.884l.107.06 5.04 2.857.123.07.123-.07 5.04-2.857.107-.06v5.526H3.063Z\" fill=\"#004B88\" stroke=\"#004B88\" stroke-width=\".5\"\/>\n\t\t\t<\/svg>\n\n\t\t\tEmail\t\t<\/a>\n\t\t<button class=\"post-header__social-sharing__button copy\">\n\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n\t\t\t\t<path d=\"M11.533 2.9c-.615 0-1.23.235-1.697.702L8.502 4.936a2.4 2.4 0 0 0-.575 2.46l.958-.958a1.32 1.32 0 0 1 .371-.748l1.334-1.333a1.331 1.331 0 0 1 1.886 0c.52.52.52 1.365 0 1.885l-1.334 1.333c-.21.21-.474.331-.748.372l-.958.958a2.393 2.393 0 0 0 2.46-.576l1.334-1.333a2.402 2.402 0 0 0 0-3.394 2.393 2.393 0 0 0-1.697-.702Zm-1.61 3.46a.533.533 0 0 0-.367.162l-3.2 3.2a.533.533 0 1 0 .754.754l3.2-3.2a.534.534 0 0 0-.387-.915ZM6.586 7.973a2.388 2.388 0 0 0-1.816.697l-1.334 1.333a2.403 2.403 0 0 0 0 3.394 2.393 2.393 0 0 0 1.697.702c.614 0 1.229-.234 1.697-.702l1.333-1.334a2.4 2.4 0 0 0 .576-2.46l-.959.958a1.32 1.32 0 0 1-.37.749l-1.334 1.333a1.334 1.334 0 0 1-1.886-1.885l1.334-1.334c.21-.21.474-.331.748-.372l.958-.957c-.21-.07-.426-.11-.644-.122Z\" fill=\"#004B88\"\/>\n\t\t\t<\/svg>\n\n\t\t\t<span>Copy Link<\/span>\n\t\t<\/button>\n\t\t\t<\/div>\n\t<\/div>\n\t\t\t\t<div class=\"wp-block-kff-shared-content-main__content__inner\">\n\t\t\n\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">The Affordable Care Act\u2019s (ACA) Medicaid expansion expanded Medicaid coverage to nearly all adults with incomes up to 138% of the Federal Poverty Level ($21,597 for an individual in&nbsp;<a href=\"https:\/\/aspe.hhs.gov\/topics\/poverty-economic-mobility\/poverty-guidelines\">2025<\/a>) and provided states with an enhanced federal matching rate (FMAP) for their expansion populations.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.5\">To date, 41 states (including DC) <mark style=\"background-color:#004b87\" class=\"has-inline-color has-white-color\">&nbsp;&nbsp;have adopted&nbsp;&nbsp;<\/mark> the Medicaid expansion and 10 states <mark style=\"background-color:#00b588\" class=\"has-inline-color has-white-color\">&nbsp;&nbsp;have not adopted&nbsp;&nbsp;<\/mark> the expansion. Current status for each state is based on KFF tracking and analysis of state expansion activity.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:20px;line-height:1.2\">These data are also available in a&nbsp;<a href=\"https:\/\/www.kff.org\/health-reform\/state-indicator\/state-activity-around-expanding-medicaid-under-the-affordable-care-act\/\">table format<\/a>. The map may be downloaded as a <a href=\"https:\/\/www.kff.org\/wp-content\/uploads\/2024\/11\/Current-Status-of-the-Medicaid-Expansion-Decision.pptx\">Powerpoint<\/a>.<\/p>\n\n\n\n<div class=\"datawrapper-embed block--datawrapper-embed \">\n\t\t\t\t\t<div style=\"min-height: 571px;\">\n\t\t\t<script\n\t\t\t\ttype=\"text\/javascript\"\n\t\t\t\tdefer\n\t\t\t\tsrc=\"https:\/\/datawrapper.dwcdn.net\/ZJUAA\/embed.js?v=14\"\n\t\t\t>\n\t\t\t<\/script>\n\t\t<\/div>\n\t\t\t<img\n\t\t\tclass=\"datawrapper-embed__print-img\"\n\t\t\tsrc=\"https:\/\/datawrapper.dwcdn.net\/ZJUAA\/full.png\"\n\t\t\talt=\"Status of State Action on the Medicaid Expansion Decision\"\n\t\t\/>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"datawrapper-embed block--datawrapper-embed \">\n\t\t\t\t\t<div style=\"min-height: 5432px;\">\n\t\t\t<script\n\t\t\t\ttype=\"text\/javascript\"\n\t\t\t\tdefer\n\t\t\t\tsrc=\"https:\/\/datawrapper.dwcdn.net\/xVMZv\/embed.js?v=14\"\n\t\t\t>\n\t\t\t<\/script>\n\t\t<\/div>\n\t\t\t<img\n\t\t\tclass=\"datawrapper-embed__print-img\"\n\t\t\tsrc=\"https:\/\/datawrapper.dwcdn.net\/xVMZv\/full.png\"\n\t\t\talt=\"Key States with Expansion Activity\"\n\t\t\/>\n<\/div>\n\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-medicaid-expansion-resources\">Medicaid Expansion Resources<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"wp-block-list-item\"><a href=\"https:\/\/www.kff.org\/medicaid\/medicaid-work-requirements-tracker-overview\/\">Tracking Implementation of the 2025 Reconciliation Law: Medicaid Work Requirements<\/a><\/li>\n\n\n\n<li class=\"wp-block-list-item\"><a href=\"https:\/\/www.kff.org\/medicaid\/issue-brief\/5-key-facts-about-medicaid-expansion\/\">5 Key Facts About Medicaid Expansion<\/a><\/li>\n\n\n\n<li class=\"wp-block-list-item\"><a href=\"https:\/\/www.kff.org\/medicaid\/issue-brief\/a-medicaid-per-capita-cap-on-the-aca-expansion-population-state-by-state-estimates\/\">A Medicaid Per Capita Cap on the ACA Expansion Population: State by State Estimates<\/a><\/li>\n\n\n\n<li class=\"wp-block-list-item\"><a href=\"https:\/\/www.kff.org\/medicaid\/issue-brief\/eliminating-the-medicaid-expansion-federal-match-rate-state-by-state-estimates\/\">Eliminating the Medicaid Expansion Federal Match Rate: State-by-State Estimates<\/a><\/li>\n\n\n\n<li class=\"wp-block-list-item\"><a href=\"https:\/\/www.kff.org\/medicaid\/issue-brief\/medicaid-expansion-is-a-red-and-blue-state-issue\/\" target=\"_blank\" rel=\"noreferrer noopener\">Medicaid Expansion is a Red and Blue State Issue<\/a><\/li>\n\n\n\n<li class=\"wp-block-list-item\"><a href=\"https:\/\/www.kff.org\/medicaid\/issue-brief\/how-many-uninsured-are-in-the-coverage-gap-and-how-many-could-be-eligible-if-all-states-adopted-the-medicaid-expansion\/\" target=\"_blank\" rel=\"noreferrer noopener\">How Many Uninsured Are in the Coverage Gap and How Many Could be Eligible if All States Adopted the Medicaid Expansion?<\/a><\/li>\n\n\n\n<li class=\"wp-block-list-item\"><a href=\"https:\/\/www.kff.org\/policy-watch\/an-update-on-aca-medicaid-expansion-what-to-watch-in-north-carolina-and-beyond\/\" target=\"_blank\" rel=\"noreferrer noopener\">An Update on ACA Medicaid Expansion: What to Watch in North Carolina and Beyond<\/a><\/li>\n\n\n\n<li class=\"wp-block-list-item\"><a href=\"https:\/\/www.kff.org\/policy-watch\/a-closer-look-at-medicaid-expansion-efforts-in-mississippi\/\" target=\"_blank\" rel=\"noreferrer noopener\">A Closer Look at Medicaid Expansion Efforts in Mississippi<\/a><\/li>\n\n\n\n<li class=\"wp-block-list-item\"><a href=\"https:\/\/www.kff.org\/affordable-care-act\/issue-brief\/what-does-the-recent-literature-say-about-medicaid-expansion-impacts-on-sexual-and-reproductive-health\/\" target=\"_blank\" rel=\"noreferrer noopener\">What Does the Recent Literature Say About Medicaid Expansion?: Impacts on Sexual and Reproductive Health<\/a><\/li>\n\n\n\n<li class=\"wp-block-list-item\"><a href=\"https:\/\/www.kff.org\/affordable-care-act\/issue-brief\/what-does-the-recent-literature-say-about-medicaid-expansion-economic-impacts-on-providers\/\" target=\"_blank\" rel=\"noreferrer noopener\">What Does the Recent Literature Say About Medicaid Expansion?: Economic Impacts on Providers<\/a><\/li>\n\n\n\n<li class=\"wp-block-list-item\"><a href=\"https:\/\/www.kff.org\/medicaid\/issue-brief\/new-incentive-for-states-to-adopt-the-aca-medicaid-expansion-implications-for-state-spending\/\">New Incentive for States to Adopt the ACA Medicaid Expansion: Implications for State Spending<\/a><\/li>\n\n\n\n<li class=\"wp-block-list-item\"><a href=\"https:\/\/www.kff.org\/medicaid\/report\/the-effects-of-medicaid-expansion-under-the-aca-updated-findings-from-a-literature-review\/\">The Effects of Medicaid Expansion under the ACA: Studies from January 2014 to January 2020<\/a><\/li>\n\n\n\n<li class=\"wp-block-list-item\"><a href=\"https:\/\/www.kff.org\/medicaid\/issue-brief\/effects-of-the-aca-medicaid-expansion-on-racial-disparities-in-health-and-health-care\/\" target=\"_blank\" rel=\"noreferrer noopener\">Effects of the ACA Medicaid Expansion on Racial Disparities in Health and Health Care<\/a><\/li>\n\n\n\n<li class=\"wp-block-list-item\"><a href=\"https:\/\/www.kff.org\/medicaid\/report\/building-on-the-evidence-base-studies-on-the-effects-of-medicaid-expansion-february-2020-to-march-2021\/\">Building on the Evidence Base: Studies on the Effects of Medicaid Expansion, February 2020 to March 2021<\/a><\/li>\n\n\n\n<li class=\"wp-block-list-item\"><a href=\"https:\/\/www.kff.org\/medicaid\/issue-brief\/medicaid-expansion-enrollment-and-spending-leading-up-to-the-covid-19-pandemic\/\" target=\"_blank\" rel=\"noreferrer noopener\">Medicaid Expansion Enrollment and Spending Leading up to the COVID-19 Pandemic<\/a><\/li>\n\n\n\n<li class=\"wp-block-list-item\"><a href=\"https:\/\/www.kff.org\/medicaid\/issue-brief\/medicaid-waiver-tracker-approved-and-pending-section-1115-waivers-by-state\/\" target=\"_blank\" rel=\"noreferrer noopener\">Medicaid Waiver Tracker: Approved and Pending Section 1115 Waivers by State<\/a><\/li>\n\n\n\n<li class=\"wp-block-list-item\"><a href=\"https:\/\/www.kff.org\/policy-watch\/eliminating-the-aca-what-could-it-mean-for-medicaid-expansion\/\" target=\"_blank\" rel=\"noreferrer noopener\">Eliminating the ACA: What Could It Mean for Medicaid Expansion?<\/a><\/li>\n\n\n\n<li class=\"wp-block-list-item\"><a href=\"https:\/\/www.kff.org\/medicaid\/issue-brief\/an-overview-of-state-approaches-to-adopting-the-medicaid-expansion\/\" target=\"_blank\" rel=\"noreferrer noopener\">An Overview of State Approaches to Adopting the Medicaid Expansion<\/a><\/li>\n\n\n\n<li class=\"wp-block-list-item\"><a href=\"https:\/\/www.kff.org\/interactive\/medicaid-state-fact-sheets\/\" target=\"_blank\" rel=\"noreferrer noopener\">Medicaid State Fact Sheets<\/a><\/li>\n<\/ul>\n\n\t<div class=\"post-footer\">\n\t<div class=\"post-footer__title\">More On<\/div>\n\t<div class=\"post-footer__links\">\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/topic\/affordable-care-act\/\">\n\t\t\t\tAffordable Care Act\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/topic\/medicaid\/\">\n\t\t\t\tMedicaid\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/topic\/state-health-policy-data\/\">\n\t\t\t\tState Health Policy and Data\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/tag\/access-to-care\/\">\n\t\t\t\tAccess to Care\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/tag\/coverage\/\">\n\t\t\t\tCoverage\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/tag\/state-budgets\/\">\n\t\t\t\tState Budgets\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/tag\/waivers\/\">\n\t\t\t\tWaivers\t\t\t<\/a>\n\t\t\t<\/div>\n<\/div>\n\t\t\t<\/div>\n\t<\/section>\n\n\n\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>This page displays an interactive map of the current status of state decisions on the Affordable Care Act&#8217;s Medicaid expansion. Additional Medicaid expansion resources are listed (with links) below the map.<\/p>\n","protected":false},"author":155412888,"featured_media":660318,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"authors":[],"exhibits":[],"jetpack_post_was_ever_published":false,"ep_exclude_from_search":false,"_classifai_error":"","_classifai_text_to_speech_error":"","hide_from_search":false,"show_featured_image":false,"subheading":"","tag":"","search_keywords":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"shortlink":"","footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[3962798,140023,579145479],"tags":[632330,128562,1301486,522163],"content-types":[579145500,579145492],"series":[],"program":[],"partner":[],"class_list":["post-647031","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-affordable-care-act","category-medicaid","category-state-health-policy-data","tag-access-to-care","tag-coverage","tag-state-budgets","tag-waivers","content-types-interactive","content-types-tracker"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.9 (Yoast SEO v25.9) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Status of State Medicaid Expansion Decisions | KFF<\/title>\n<meta name=\"description\" content=\"This page displays an interactive map of the current status of state decisions on the Affordable Care Act&#039;s Medicaid expansion. 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