In all states, Medicaid must cover certain groups of individuals based on income, household size, disability, and family status according to federal guidlines. Some states cover individuals based on income alone. These states are known as “expansion states”. Expansion states cover all families and individuals whose income falls below the federal poverty level threshold, but do not meet other standards to qualify for Medicaid, such as low-income able-bodied adults and people with chronic disabilities facing significant medical costs.
34 states (including DC) have expanded Medicaid to bridge the coverage gap - improving access to affordable health care coverage, medical services, and medications. During the 2018 midterm election, four states had Medicaid expansion ballot initiatives. Three out of the four - Idaho, Nebraska, and Utah, passed. Montana's ballot initiative was not approved by voters. Find out which states have expanded Medicaid using the map below.
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