To date, 33 states and the District of Columbia have expanded their programs, 8 utilizing a Section 1115 Waiver. Another 17 are not currently expanding, however, their interest will soon be measured on ballots this Fall.
Overall, the impacts have been significant; coverage, access to care, and delivery system reform have all seen changes. Medicaid expansion has positively affected utilization of services, the affordability of care, and financial security among the low-income population. According to Kaiser Family Foundation (KFF), Medicaid expansion states have also experienced significant coverage gains and reductions in uninsured rates – among the low-income population broadly and within specific vulnerable populations.