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Medicaid coverage

Medicaid expansion: state by state

Whether the state has expanded Medicaid under the ACA.

Why this matters for Black health

Medicaid expansion under the Affordable Care Act extends coverage to adults earning up to 138 percent of the federal poverty level. Black adults are disproportionately concentrated in the income bracket that benefits from expansion. In non-expansion states, more than two million people fall into a coverage gap with neither Medicaid nor subsidized marketplace plans available.

No coverage / no protection: 8 states

Alabama AL Florida FL Georgia GA Mississippi MS Tennessee TN Texas TX Wisconsin WI Wyoming WY

In effect: 43 states

Alaska AK Arizona AZ Arkansas AR California CA Colorado CO Connecticut CT Delaware DE District of Columbia DC Hawaii HI Idaho ID Illinois IL Indiana IN Iowa IA Kansas KS Kentucky KY Louisiana LA Maine ME Maryland MD Massachusetts MA Michigan MI Minnesota MN Missouri MO Montana MT Nebraska NE Nevada NV New Hampshire NH New Jersey NJ New Mexico NM New York NY North Carolina NC North Dakota ND Ohio OH Oklahoma OK Oregon OR Pennsylvania PA Rhode Island RI South Carolina SC South Dakota SD Utah UT Vermont VT Virginia VA Washington WA West Virginia WV