Current Status of State Individual Marketplace and Medicaid Expansion Decisions

1. Current Status of State Individual Marketplace and Medicaid Expansion Decisions ME VT WA NH* MT ND MN OR MA NY WI* SD ID RI MI* CT WY PA* NJ IA* NE OH DE IN* IL NV MD CO UT* WV VA CA DC KS MO KY NC TN AK SC AZ OK AR* NM GA AL MS LA TX FL HI Federally-facilitated or Partnership Marketplace and Implementing the Medicaid Expansion (12 States) State-based Marketplace and Implementing the Medicaid Expansion (16 States including DC) Federally-facilitated Marketplace and Not Moving Forward with the Medicaid Expansion at this Time (22 States) State-based Marketplace and Not Moving Forward with the Medicaid Expansion at this Time (1 State) NOTES: *AR, IA, MI, and PA have approved Section 1115 waivers for Medicaid expansion.  In PA, coverage will begin in January 2015. NH is implementing the Medicaid expansion, but the state plans to seek a waiver at a later date.  IN has a pending waiver to implement the Medicaid expansion.  WI amended its Medicaid state plan and existing Section 1115 waiver to cover adults up to 100% FPL in Medicaid, but did not adopt the expansion. States not moving forward with the Medicaid expansion at this time include IN and UT; Medicaid expansion decisions in these states are considered “Open Debate.” SOURCE: State Decisions on Health Insurance Marketplaces and the Medicaid Expansion, as of August 28, 2014, KFF State Health Facts, http://kff.org/health-reform/state-indicator/state-decisions-for-creating-health-insurance-exchanges-and-expanding-medicaid/.