Center on Budget and Policy Priorities June 14, 2024
The Affordable Care Act (ACA) permits states to expand Medicaid coverage to adults with incomes up to 138 percent of the poverty level (about $20,780 annually for an individual or $35,630 for a family of three). States that have adopted the expansion have dramatically lowered their uninsured rates. Extensive research finds that the people who gained coverage have grown healthier and more financially secure, while long-standing racial inequities in health outcomes, coverage, and access to care have shrunk.
To date, 40 states plus Washington, D.C. have adopted the expansion, with South Dakota and North Carolina the most recent additions in 2023. This paper answers frequently asked questions about Medicaid expansion, using the latest studies and findings from expansion states.
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