Where States Stand on Obamacare Exchange, Medicaid Expansion

February 18, 2013

A look at the how states are putting in place President Barack Obama’s health care law, including health insurance exchanges and expansion of Medicaid coverage, along with the number of people in each state who don’t have health insurance:

STATE EXCHANGE OPTION MEDICAID OPTION UNINSURED RESIDENTS
Alabama Federal exchange Not expanding 696,000
Alaska Federal exchange Decision pending 128,000
Arizona Federal exchange Plans expansion 1,306,000
Arkansas Federal-state partnership Decision pending-x 545,000
California State exchange Plans expansion 7,471,000
Colorado State exchange Plans expansion 817,000
Connecticut State exchange Plans expansion 391,000
Delaware Federal-state partnership Plans expansion 115,000
Washington, D.C. State exchange Plans expansion 65,000
Florida Likely Federal exchange Decision pending 3,952,000
Georgia Federal exchange Not expanding 1,992,000
Hawaii State exchange Plans expansion 102,000
Idaho State exchange Decision pending 239,000
Illinois Federal-state partnership Plans expansion 1,795,000
Indiana Federal exchange Decision pending 856,000
Iowa Federal-state partnership Decision pending 292,000
Kansas Federal exchange Decision pending 361,000
Kentucky State exchange Decision pending 727,000
Louisiana Federal exchange Not expanding 811,000
Maine Federal exchange Not expanding 146,000
Maryland State exchange Plans expansion 734,000
Massachusetts State exchange Plans expansion 215,000
Michigan Federal-state partnership Plans expansion 1,336,000
Minnesota State exchange Plans expansion 453,000
Mississippi Federal exchange Not expanding 530,000
Missouri Federal exchange Decision pending-x 780,000
Montana Federal exchange Decision pending-x 179,000
Nebraska Federal exchange Decision pending 226,000
Nevada State exchange Plans expansion 555,000
New Hampshire Federal-state partnership Decision pending 136,000
New Jersey Federal exchange Decision pending 1,334,000
New Mexico State exchange Plans expansion 506,000
New York State exchange Plans expansion 2,780,000
North Carolina Federal exchange Not expanding 1,583,000
North Dakota Federal exchange Decision pending-x 74,000
Ohio Federal exchange-xx Plans expansion 1,578,000
Oklahoma Federal exchange Not expanding 597,000
Oregon State exchange Plans expansion 678,000
Pennsylvania Federal exchange Not expanding 1,319,000
Rhode Island State exchange Plans expansion 122,000
South Carolina Federal exchange Not expanding 754,000
South Dakota Federal exchange Not expanding 108,000
Tennessee Federal exchange Decision pending 982,000
Texas Federal exchange Not expanding 6,654,000
Utah Status unclear Decision pending 424,000
Vermont State exchange Expanding 61,000
Virginia Federal exchange-xx Not expanding 1,023,000
Washington State exchange Expanding 812,000
West Virginia Federal-state partnership Decision pending 266,000
Wisconsin Federal exchange Not expanding 562,000
Wyoming Federal exchange Not expanding 84,000

x-governor supports Medicaid expansion; legislature must approve

xx-state will oversee exchange insurance plans under federal law

Sources: Associated Press Research, U.S. Health and Human Services Department and the Urban Institute.

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