In States That Don’t Expand Medicaid, Who Gets New Coverage Assistance
Under the ACA and Who Doesn’t?
Chart Pack
Table of Contents:
Table 1. Median Income of Uninsured Adults, by State and Eligibility for
ACA Coverage Assistance (Nonexpansion States)
2
Table 2. Number of Uninsured Adults by State, Ineligibility for ACA
Coverage Assistance Because of Nonexpansion, and Other
Characteristics (Nonexpansion States)
3
Table 3. The Share of Uninsured Adults Eligible for ACA Coverage
Assistance and Ineligible Because of Nonexpansion, by State,
Race or Ethnicity, and Gender (Nonexpansion States)
4
Table 4. The Share of Uninsured Adults Eligible for ACA Coverage
Assistance and Ineligible Because of Nonexpansion, by State,
Age, and Education (Nonexpansion States)
5
In States That Don’t Expand Medicaid, Who Gets New Coverage Assistance Under the ACA and Who Doesn’t? 1
Table 1. Median Income of Uninsured Adults, by State and Eligibility for ACA Coverage
Assistance (Nonexpansion States)
Uninsured Adults Ineligible for ACA
Assistance Because of Nonexpansion
Number
Alabama
Uninsured Adults Eligible for ACA Assistance
Median Income
FPL
Annual ($)
Monthly ($)
Number
Median Income
FPL
Annual ($)
Monthly ($)
254,000
61%
$9,100
$758
176,000
165%
$24,242
$2,020
Alaska
24,000
49%
$7,422
$619
43,000
191%
$31,477
$2,623
Florida
1,043,000
64%
$9,000
$750
1,084,000
177%
$25,000
$2,083
570,000
63%
$9,300
$775
467,000
174%
$25,700
$2,142
Georgia
Idaho
78,000
67%
$10,000
$833
75,000
173%
$26,300
$2,192
Indiana
292,000
65%
$9,300
$775
269,000
176%
$25,471
$2,123
Kansas
109,000
69%
$10,000
$833
97,000
173%
$25,000
$2,083
Louisiana
286,000
64%
$9,400
$783
231,000
179%
$25,400
$2,117
Maine
30,000
64%
$8,000
$667
57,000
184%
$25,000
$2,083
Mississippi
201,000
61%
$9,600
$800
124,000
167%
$25,000
$2,083
Missouri
275,000
65%
$9,560
$797
233,000
171%
$24,784
$2,065
Montana
51,000
68%
$9,490
$791
66,000
177%
$26,500
$2,208
Nebraska
57,000
76%
$9,739
$812
60,000
178%
$25,000
$2,083
North Carolina
412,000
66%
$9,277
$773
403,000
171%
$25,000
$2,083
Oklahoma
181,000
68%
$10,000
$833
175,000
177%
$26,200
$2,183
South Carolina
237,000
65%
$8,500
$708
207,000
172%
$25,000
$2,083
South Dakota
34,000
67%
$9,000
$750
32,000
184%
$27,000
$2,250
Tennessee
Texas
Utah
257,000
61%
$7,800
$650
262,000
173%
$25,000
$2,083
1,510,000
65%
$10,000
$833
1,317,000
174%
$26,000
$2,167
97,000
70%
$10,000
$833
102,000
184%
$30,000
$2,500
267,000
68%
$9,000
$750
266,000
176%
$25,000
$2,083
Wisconsin
11,000
121%
$15,000
$1,250
157,000
184%
$24,000
$2,000
Wyoming
21,000
74%
$9,000
$750
27,000
202%
$28,000
$2,333
6,297,000
65%
$9,500
$792
5,928,000
175%
Virginia
Total:
$25,164
$2,097
Source: HIPSM-ACS 2014.
Notes: States are classified as not expanding Medicaid based on policies being implemented in or receiving federal approval by September 2014. Indiana and
Utah are thus nonexpansion states despite pending waiver proposals. Pennsylvania is an expansion state because its expansion waiver was approved in August
2014. Residents ineligible for ACA coverage assistance qualify for neither Medicaid nor subsidies to buy qualified health plans (QHPs). Residents eligible for
ACA coverage assistance qualify for QHP subsidies. Insurance status is based on ACS data for 2009-11. Residents are under age 65. Median income, in dollars,
reflects both FPL and household size. Accordingly, in comparing two sates, one can have a higher median income in FPL but a lower median income in dollars, or
a lower median income in FPL but a higher median income in dollars.
In States That Don’t Expand Medicaid, Who Gets New Coverage Assistance Under the ACA and Who Doesn’t? 2
Table 2. Number of Uninsured Adults by State, Ineligibility for ACA Coverage Assistance
Because of Nonexpansion, and Other Characteristics (Nonexpansion States)
Total
Uninsured
Total
Adults
Ineligible
(Thousands) Due to Nonexpansion
Alabama
617
254
Uninsured Adults Ineligible for ACA Assistance Due to Nonexpansion (Thousands)
NonHispanic
Black
Hispanic
106
NonHispanic
White
7
135
Other Race/
Women
Ethnicity
6
129
Men
Age
19-24
Age
25-44
Age
45-64
126
61
126
67
High School
Education
or Less
185
At Least
Some
College
70
Alaska
116
24
*
*
11
*
10
15
5
11
8
18
6
Florida
3,525
1,043
223
294
481
46
509
534
195
489
358
693
350
Georgia
1,681
570
248
45
249
27
283
287
143
269
158
398
171
228
78
*
11
61
*
38
40
19
38
20
51
27
Idaho
Indiana
800
292
45
22
216
9
140
152
73
144
75
210
82
Kansas
325
109
11
15
74
9
51
58
28
54
27
70
38
Louisiana
745
286
149
9
119
9
157
129
69
137
80
210
77
Maine
131
30
*
29
*
14
16
5
12
13
18
12
Mississippi
464
201
110
4
84
4
101
101
56
94
51
139
62
Missouri
718
275
53
13
198
12
134
141
69
136
70
189
86
Montana
162
51
*
1
38
*
25
26
11
23
17
32
19
Nebraska
191
57
5
7
41
4
26
31
19
23
14
34
23
1,401
412
131
31
223
27
197
216
75
206
131
277
135
Oklahoma
589
181
19
14
108
40
89
93
50
84
47
123
58
South Carolina
696
237
105
9
116
7
111
126
58
106
72
170
67
North Carolina
South Dakota
Tennessee
Texas
*
94
34
*
20
*
16
19
9
16
9
23
11
863
257
71
*
9
169
8
112
146
65
109
83
187
70
5,022
1,510
222
771
444
73
794
716
410
720
381
1,071
439
Utah
335
97
2
18
67
10
45
52
26
49
22
57
40
Virginia
876
267
90
16
141
20
127
140
72
119
76
180
87
Wisconsin
467
11
1
*
8
*
5
6
3
5
3
8
3
Wyoming
Total:
77
21
20,121
6,297
*
1,593
2
1,302
16
*
11
10
3,048
353
3,122
3,176
6
1,528
8
2,979
7
1,790
14
4,358
6
1,940
Source: HIPSM-ACS 2014.
Notes: States are classified as not expanding Medicaid based on policies being implemented in or receiving federal approval by September 2014. Indiana and
Utah are thus nonexpansion states despite pending waiver proposals. Pennsylvania is an expansion state because its expansion waiver was approved in August
2014. Residents ineligible for ACA coverage assistance qualify for neither Medicaid nor subsidies to buy qualified health plans (QHPs). Residents eligible for
ACA coverage assistance qualify for QHP subsidies. Insurance status is based on ACS data for 2009-11. Residents are under age 65. People with high school
education or less include those who did not complete high school. People with some college include college graduates. Totals may not add because of rounding.
* Data suppressed due to small sample size.
In States That Don’t Expand Medicaid, Who Gets New Coverage Assistance Under the ACA and Who Doesn’t? 3
Table 3. The Share of Uninsured Adults Eligible for ACA Coverage Assistance and Ineligible
Because of Nonexpansion, by State, Race or Ethnicity, and Gender (Nonexpansion States)
Non-Hispanic
Blacks
Total
Non-Hispanic
Whites
Other Race/
Ethnicity
Hispanics
Women
Men
Ineligible
Ineligible
Ineligible
Ineligible
Ineligible
Ineligible
Ineligible
Due to Non- Eligible Due to Non- Eligible Due to Non- Eligible Due to Non- Eligible Due to Non- Eligible Due to Non- Eligible Due to Non- Eligible
expansion
expansion
expansion
expansion
expansion
expansion
expansion
Alabama
41%
29%
Alaska
21%
37%
*
*
19%
45%
*
*
*
*
19%
36%
22%
37%
Florida
30%
31%
36%
27%
33%
36%
23%
27%
28%
29%
31%
30%
28%
31%
Georgia
34%
28%
44%
28%
36%
35%
14%
12%
26%
29%
36%
27%
32%
29%
Idaho
34%
33%
*
*
36%
38%
24%
17%
*
*
36%
31%
33%
34%
Indiana
36%
34%
46%
30%
38%
37%
23%
16%
30%
32%
38%
32%
35%
35%
Kansas
33%
30%
43%
28%
37%
36%
21%
15%
35%
28%
34%
28%
33%
32%
Louisiana
38%
31%
49%
28%
34%
36%
16%
20%
28%
34%
43%
29%
34%
33%
Maine
23%
44%
*
*
23%
44%
*
*
*
*
25%
43%
22%
44%
Mississippi
43%
27%
53%
23%
38%
32%
17%
10%
27%
28%
46%
24%
41%
29%
Missouri
38%
32%
45%
30%
38%
35%
26%
16%
32%
31%
40%
31%
37%
34%
Montana
31%
41%
*
*
31%
44%
24%
25%
*
*
33%
39%
30%
43%
Nebraska
30%
31%
37%
29%
32%
36%
19%
17%
31%
32%
30%
29%
30%
33%
North Carolina
29%
29%
39%
30%
32%
36%
11%
10%
31%
27%
31%
28%
28%
29%
Oklahoma
31%
30%
41%
25%
33%
34%
16%
16%
33%
31%
32%
28%
30%
31%
South Carolina
34%
30%
45%
27%
32%
36%
11%
11%
31%
29%
34%
29%
34%
30%
South Dakota
36%
34%
*
*
32%
40%
*
*
*
*
36%
32%
36%
36%
Tennessee
30%
30%
41%
28%
31%
35%
9%
11%
25%
28%
29%
29%
30%
32%
Texas
30%
26%
42%
29%
32%
35%
27%
21%
27%
33%
33%
24%
28%
28%
Utah
29%
31%
52%
17%
33%
39%
18%
15%
41%
29%
30%
28%
29%
32%
Virginia
30%
30%
42%
31%
34%
37%
10%
16%
24%
27%
32%
29%
30%
32%
Wisconsin
2%
33%
3%
27%
2%
39%
*
*
*
*
3%
33%
2%
34%
Wyoming
27%
35%
*
*
27%
39%
21%
21%
*
*
31%
33%
23%
37%
31.3%
29.5%
42.7%
28.0%
32.7%
36.0%
22.3%
20.0%
28.6%
29.8%
33.2%
27.8%
29.7%
30.9%
Total:
53%
25%
40%
34%
12%
11%
29%
29%
44%
26%
39%
31%
Source: HIPSM-ACS 2014.
Notes: Uninsured adults not shown here are either (1) ineligible because of federal law, rather than state policy decisions; or (2) eligible for pre-ACA Medicaid but
not enrolled. States are classified as not expanding Medicaid based on policies being implemented in or receiving federal approval by September 2014. Indiana
and Utah are thus nonexpansion states despite pending waiver proposals. Pennsylvania is an expansion state because its expansion waiver was approved in
August 2014. Residents ineligible for ACA coverage assistance qualify for neither Medicaid nor subsidies to buy qualified health plans (QHPs). Residents eligible
for ACA coverage assistance qualify for QHP subsidies. Insurance status is based on ACS data for 2009-11. Residents are under age 65.
* Data suppressed due to small sample size.
In States That Don’t Expand Medicaid, Who Gets New Coverage Assistance Under the ACA and Who Doesn’t? 4
Table 4. The Share of Uninsured Adults Eligible for ACA Coverage Assistance
and Ineligible Because of Nonexpansion, by State, Age, and Education
(Nonexpansion States)
Age 19-24
Total
Age 25-44
Age 45-64
High School
Degree or Less
At Least Some
College
Ineligible
Ineligible
Ineligible
Ineligible
Ineligible
Ineligible
Due to Non- Eligible Due to Non- Eligible Due to Non- Eligible Due to Non- Eligible Due to Non- Eligible Due to Non- Eligible
expansion
expansion
expansion
expansion
expansion
expansion
Alabama
41%
29%
52%
23%
40%
29%
37%
32%
42%
27%
39%
32%
Alaska
21%
37%
23%
29%
20%
35%
20%
42%
24%
33%
15%
43%
Florida
30%
31%
33%
26%
29%
31%
29%
33%
30%
29%
28%
33%
Georgia
34%
28%
45%
23%
31%
28%
32%
31%
34%
26%
33%
32%
Idaho
34%
33%
46%
28%
34%
32%
28%
37%
34%
31%
34%
36%
Indiana
36%
34%
48%
28%
35%
33%
31%
39%
38%
32%
33%
37%
Kansas
33%
30%
43%
24%
32%
29%
29%
36%
34%
27%
33%
35%
Louisiana
38%
31%
50%
25%
37%
31%
34%
35%
40%
30%
35%
33%
Maine
23%
44%
27%
34%
21%
47%
23%
44%
22%
45%
24%
42%
Mississippi
43%
27%
60%
18%
41%
27%
36%
32%
44%
26%
42%
29%
Missouri
38%
32%
51%
26%
38%
33%
32%
36%
39%
31%
36%
35%
Montana
31%
41%
39%
38%
31%
42%
29%
40%
34%
40%
28%
42%
Nebraska
30%
31%
45%
25%
25%
31%
26%
37%
28%
30%
34%
34%
North Carolina
29%
29%
31%
22%
29%
28%
30%
34%
29%
26%
30%
35%
Oklahoma
31%
30%
43%
25%
28%
28%
27%
35%
30%
29%
32%
31%
South Carolina
34%
30%
46%
25%
31%
30%
32%
32%
35%
28%
31%
35%
South Dakota
36%
34%
46%
29%
35%
35%
31%
36%
37%
35%
34%
32%
Tennessee
30%
30%
44%
25%
25%
30%
29%
34%
30%
29%
29%
33%
Texas
30%
26%
43%
24%
28%
25%
26%
30%
30%
24%
30%
31%
Utah
29%
31%
40%
26%
27%
31%
26%
32%
28%
29%
31%
34%
Virginia
30%
30%
43%
26%
27%
30%
28%
34%
31%
30%
30%
31%
Wisconsin
2%
33%
3%
28%
2%
34%
2%
36%
2%
31%
2%
39%
Wyoming
27%
35%
41%
31%
22%
34%
26%
40%
29%
34%
22%
37%
29.5%
40.9%
24.7%
29.6%
29.1%
28.4%
32.9%
31.8%
27.7%
30.3%
33.3%
Total:
31.3%
Source: HIPSM-ACS 2014.
Notes: Uninsured adults not shown here are either (1) ineligible because of federal law, rather than state policy decisions; or (2) eligible for
pre-ACA Medicaid but not enrolled. States are classified as not expanding Medicaid based on policies being implemented in or receiving
federal approval by September 2014. Indiana and Utah are thus nonexpansion states despite pending waiver proposals. Pennsylvania is
an expansion state because its expansion waiver was approved in August 2014. Residents ineligible for ACA coverage assistance qualify
for neither Medicaid nor subsidies to buy qualified health plans (QHPs). Residents eligible for ACA coverage assistance qualify for QHP
subsidies. Insurance status is based on ACS data for 2009-11. Residents are under age 65. People with high school education or less include
those who did not complete high school. People with some college include college graduates.
In States That Don’t Expand Medicaid, Who Gets New Coverage Assistance Under the ACA and Who Doesn’t? 5