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This report provides a comprehensive overview of state decisions regarding health insurance marketplaces and Medicaid expansion as of December 11, 2013. It categorizes states into four groups based on their marketplace type (state-based, federally-facilitated, or partnership) and their Medicaid expansion status. Notably, 16 states, including D.C., are moving forward with Medicaid expansion, while 10 states are doing so under federally-facilitated or partnership markets. Conversely, 24 states have opted not to expand Medicaid. Key notes include pending waivers and approved Section 1115 waivers affecting several states.
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Status of State Individual Marketplace and Medicaid Expansion Decisions, as of December 11, 2013 ME VT WA NH MT ND MN OR MA NY WI** SD ID MI** RI CT WY PA* NJ IA** NE OH DE IN* IL NV MD CO UT WV VA CA DC KS MO KY NC TN AK AZ SC OK AR** NM GA AL MS LA TX FL HI State-based Marketplace and Moving Forward with the Medicaid expansion (16 States including DC) Federally-Facilitated or Partnership Marketplace and Moving Forward with the Medicaid Expansion (10 States) Federally-Facilitated or Partnership Marketplace and Not Moving Forward with the Medicaid Expansion (24 States) State-based Marketplace and Not Moving Forward with the Medicaid expansion (1 State) NOTES: * IN and PA have pending waivers for Medicaid expansion plans that would be implemented post-2014. **AR and IA have approved Section 1115 waivers for Medicaid expansion; MI has a pending waiver for expansion and plans to implement in April 2014; WI amended its Medicaid state plan and existing Section 1115 waiver to cover adults up to 100% FPL in Medicaid, but did not adopt the expansion. SOURCE: State Decisions on Health Insurance Marketplaces and the Medicaid Expansion, as of December 11,2013, KFF State Health Facts, http://www.kff.org/health-reform/state-indicator/state-decisions-for-creating-health-insurance-exchanges-and-expanding-medicaid/#
