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Adopted and Implemented
41
Not Adopted
10

States Without Obamacare Exchanges 2024

States Without Obamacare Exchanges 2024

In the United States, Obamacare, formally known as the Affordable Care Act (ACA), was implemented to reform the healthcare system by increasing access to affordable health insurance for millions of Americans. One of the key components of the ACA is the establishment of health insurance exchanges, where individuals and small businesses can shop for and purchase health insurance plans. However, the decision to adopt and implement these exchanges lies with individual states, leading to variations in their availability across the country.

The main discussion surrounding states without Obamacare exchanges often revolves around political and ideological factors. Some states, such as Alabama, Florida, Georgia, have chosen not to adopt Obamacare exchanges, citing concerns about federal overreach, the cost of implementation, and opposition to the ACA's provisions. On the other hand, states like California, New York, and Washington have fully embraced Obamacare exchanges, expanding access to healthcare coverage for their residents.

States Without Obamacare Exchanges 2024

  • As of April 2024, all 50 states, Puerto Rico and the District of Columbia have access to health insurance marketplaces under the Affordable Care Act (ACA), also known as Obamacare Exchanges.
  • Medicaid is a joint federal and state program that provides health insurance coverage to low-income adults, children, pregnant women, seniors, and people with disabilities in the United States.
  • Before Medicaid: Limited eligibility for adults, primarily focused on specific populations (children, pregnant women, seniors, people with disabilities).
  • Medicaid Expansion: Increased eligibility for adults with incomes up to 138% of the FPL (optional for states).

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State
Medicaid Expansion (Obamacare) Status 2024
Date Implemented
Additional Details
AlabamaNot Adopted
FloridaNot Adopted
GeorgiaNot Adopted
KansasNot Adopted
MississippiNot Adopted
South CarolinaNot Adopted
TennesseeNot Adopted
TexasNot Adopted
WisconsinNot Adopted
WyomingNot Adopted
AlaskaAdopted and ImplementedSeptember 1, 2015
ArizonaAdopted and ImplementedJanuary 4, 2014
ArkansasAdopted and ImplementedJanuary 4, 2014
CaliforniaAdopted and ImplementedJanuary 4, 2014
ColoradoAdopted and ImplementedJanuary 4, 2014
ConnecticutAdopted and ImplementedJanuary 4, 2014
DelawareAdopted and ImplementedJanuary 4, 2014
District of ColumbiaAdopted and ImplementedJanuary 4, 2014
HawaiiAdopted and ImplementedJanuary 4, 2014
IdahoAdopted and ImplementedJanuary 1, 2020
IllinoisAdopted and ImplementedJanuary 4, 2014
IndianaAdopted and ImplementedFebruary 1, 2015
IowaAdopted and ImplementedJanuary 4, 2014
KentuckyAdopted and ImplementedJanuary 4, 2014
LouisianaAdopted and ImplementedJuly 1, 2016
MaineAdopted and ImplementedJanuary 10, 2019
With coverage retroactive to July 2, 2018
MarylandAdopted and ImplementedJanuary 4, 2014
MassachusettsAdopted and ImplementedJanuary 4, 2014
MichiganAdopted and ImplementedApril 1, 2014
MinnesotaAdopted and ImplementedJanuary 4, 2014
MissouriAdopted and ImplementedOctober 1, 2021
MontanaAdopted and ImplementedJanuary 1, 2016
With coverage retroactive to July 1, 2021
NebraskaAdopted and ImplementedOctober 1, 2020
NevadaAdopted and ImplementedJanuary 4, 2014
New HampshireAdopted and ImplementedAugust 15, 2014
New JerseyAdopted and ImplementedJanuary 4, 2014
New MexicoAdopted and ImplementedJanuary 4, 2014
New YorkAdopted and ImplementedJanuary 4, 2014
North CarolinaAdopted and ImplementedDecember 1, 2023
North DakotaAdopted and ImplementedJanuary 4, 2014
OhioAdopted and ImplementedJanuary 4, 2014
OklahomaAdopted and ImplementedJuly 1, 2021
OregonAdopted and ImplementedJanuary 4, 2014
PennsylvaniaAdopted and ImplementedJanuary 1, 2015
Rhode IslandAdopted and ImplementedJanuary 4, 2014
South DakotaAdopted and ImplementedJuly 1, 2023
UtahAdopted and ImplementedJanuary 1, 2020
VermontAdopted and ImplementedJanuary 4, 2014
VirginiaAdopted and ImplementedJanuary 1, 2019
WashingtonAdopted and ImplementedJanuary 4, 2014
West VirginiaAdopted and ImplementedJanuary 4, 2014
showing: 51 rows

Sources