How much each state has spent to expand Medicaid
By Jakob Emerson / November 22, 2024
States spend nearly $40 billion annually on expanded Medicaid coverage under the ACA, according to KFF.
Medicaid is financed by the federal government and the states based on per capita income. The federal funding share varies from 50% to 74%, depending on the state. The ACA expanded Medicaid eligibility in 2014, and the federal government has paid for 90% of expansion costs since 2020.
The ranking below lists state spending in 2023 for adults who have enrolled in Medicaid through the ACA's expansion of the program. It does not include spending on traditional Medicaid or federal spending for the expansion group. Ten states have not expanded Medicaid under the ACA.
How much each state has spent to expand Medicaid:
California: $3,268,018,800
New York: $2,689,050,600
Illinois: $1,895,262,700
Washington: $1,016,797,100
Ohio: $789,815,500
Pennsylvania: $787,076,100
Michigan: $710,094,100
Arizona: $709,590,200
Louisiana: $708,047,200
Virginia: $692,144,700
New Jersey: $621,022,700
Kentucky: $578,826,600
Oregon: $506,854,800
Connecticut: $484,935,900
Indiana: $453,552,600
Maryland: $399,059,600
Massachusetts: $373,670,100
Minnesota: $354,687,500
Colorado: $332,704,000
Missouri: $281,864,300
Arkansas: $277,126,900
Oklahoma: $233,386,800
Nevada: $217,824,300
New Mexico: $211,870,300
Iowa: $158,525,300
West Virginia: $145,475,300
Utah: $113,261,900
Hawaii: $103,935,500
Montana: $94,964,700
Nebraska: $93,805,700
Delaware: $92,409,500
Maine: $92,354,200
Rhode Island: $88,602,700
Idaho: $86,314,200
District of Columbia: $77,432,200
New Hampshire: $50,356,100
North Dakota: $47,138,000
Alaska: $38,918,200
Vermont: $32,495,600
South Dakota: $960,000