Status of State Medicaid Expansion Decisions Published: Feb 27, 2026

https://www.kff.org/medicaid/status-of-state-medicaid-expansion-decisions/ The Affordable Care Act’s (ACA) Medicaid expansion expanded Medicaid coverage to nearly all adults with incomes up to 138% of the Federal Poverty Level ($21,597 for an individual in 2025) and provided states with an enhanced federal matching rate (FMAP) for their expansion populations.