Medicaid Expansion, Health Coverage, and Spending

Research Report

Medicaid Expansion, Health Coverage, and Spending

An Update for the 21 States that have not Expanded Eligibility


Ever since the Supreme Court ruled in June 2012 that states could effectively choose whether or not to accept the Affordable Care Act’s expansion of Medicaid eligibility, that choice has been one of the most prominent and often one of the most contentious issues for states. In this report, we provide new projections of the impact of Medicaid expansion on health coverage, Medicaid enrollment, and costs in the 21 states that have not expanded Medicaid. With expansion, nearly 7 million more would enroll in Medicaid, and there would be 4.3 million fewer uninsured people.

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