Medicaid expansion—then and now
The News Division of the Advisory Board has been tracking governors' stances on the expansion since the days after the June 28, 2012, ruling, which made Medicaid expansion optional and left the decision to expand in the hands of governors and state legislatures.
In our first survey of the states, completed on July 5, four governors said they would not expand their state programs, and another eight said they were leaning against participating in the expansion.
Our first map of the Medicaid expansion
Since then, just five of those governors—Florida, New Jersey, Iowa, Missouri, and Nevada—have changed their tune and agreed to expand. (Although it's unclear how many of these governors will get expansion through their state legislatures.)
Meanwhile, 12 other governors have joined the anti-expansion team, either saying they would not expand Medicaid or indicating that they were unlikely to do so. That brings the overall number of governors saying they will not expanding Medicaid—or indicating that they are unlikely to do so—to 19.
Our current map of the Medicaid expansion
States could still change their minds about expansion—either for 2014 or for later years. And states that had opposed a Medicaid expansion could warm up to the idea of an Arkansas-like deal.
But one year after the Supreme Court ruling, as many legislative sessions are wrapping up for the year, we have yet to see the major position reversal that pundits expected.
Want to know more about the ACA's coverage expansion?
In 2014, the ACA's Medicaid expansion and health insurance exchanges will go live, expanding insurance to millions of Americans.
The insurance exchanges: Register for our July webconferences to learn everything you need to know about the insurance marketplaces before they begin enrolling patients on Oct. 1. For an immediate look, check out our new white paper.