- Associated Press - Sunday, July 19, 2015

This table contains projected and actual enrollment figures for the newly eligible Medicaid population in the 30 states and the District of Columbia that have opted to expand the program under the federal Affordable Care Act. Where available, it also provides the estimated and revised cost of paying for the program during the 2017 fiscal year, when states will begin paying a share of the Medicaid expansion. The state share will rise to 10 percent in the 2020 fiscal year.

Associated Press reporters in every state compiled the information from various state agencies (FY=fiscal year; CY=calendar year).

AlaskaFY2016:40,000 eligible; 20,000 would enrollN/A$5.2 millionN/AGov. Bill Walker said last week that Alaska would expand Medicaid.
ArizonaFY2015: 279,778FY2015: 347,000$163.4 million$234.8 millionArizona had partially expanded Medicaid prior to ACA implementation, although that program was put on hold during the recession. These figures include the initial expansion group and newly eligible population. Most of the growth is concentrated in the initial expansion group, which restarted in 2014.
ArkansasAll years: 250,000 new enrolleesFY2014: 195,783 new enrollees$107.8 million for new enrollees$43 million for new enrolleesArkansas’ Medicaid expansion operates differently than in most states. Under what it calls a “private option,” the state uses federal money to buy private insurance for low-income residents. It was crafted as an alternative to the Medicaid expansion envisioned under the federal health law. The figures here include the newly eligible and those previously eligible but not enrolled.
CaliforniaFY2015: 800,257As of May 2015: 2.3 millionUp to $257 million$367.4 millionThe Legislature will meet in a special session later this summer, in part to discuss funding for the program, which is called Medi-Cal. Five years ago, the program accounted for 14 percent of California’s general fund. Today, Medi-Cal consumes 16 percent.
ColoradoFY2015:232,400FY2015:312,682Not available$38.2 millionUnder a plan passed by lawmakers, a hospital provider fee will be used to cover state costs in the 2017 fiscal year. Officials said a comparable cost estimate was not available because expansion was implemented in stages.
ConnecticutNot availableApril 2015:38,195 new enrolleesNot availableNot availableConnecticut officials said about 45,000 childless adults in 2010 were moved off a program that provided health coverage funded entirely by the state. Enrollment count is just for April and includes those previously eligible.
DelawareCY2014: 71,645 new enrolleesCY2014: 52,431 new enrollees$57 million (CY)$56.5 million (CY)Delaware was among states that had partially expanded Medicaid prior to ACA implementation. Figures include the initial expansion group and the newly eligible population.
District of ColumbiaNot availableApril 2015:11,932 new enrolleesNot availableNot availableThe District of Columbia had previously expanded Medicaid. District officials say they do not do enrollment and cost projections. Enrollment count is just for April and includes those previously eligible.
HawaiiOct. 1, 2013-Oct, 1 2014: 45,000 new enrolleesOct. 1, 2013-Oct, 1 2014: 18,188 new enrolleesNot providedNot providedEnrollment was lower than projected in the first year due partly to technical problems related to ACA implementation. The state department that handles Medicaid did not provide cost estimates.
IllinoisCY2015: 298,000FY2015: 623,000$98.8 million$54.1 million (plus an additional $18.8 million paid by Cook County directly as part of an intergovernmental agreement).The costs of the newly eligible population in Cook County, which includes Chicago, were included in the initial cost estimate but not in the current one. Cook County is included in the enrollment numbers.
IndianaCY2015: 247,000As of July 14, 2015: 186,000Not availableNot availableIndiana obtained a federal waiver to expand its Healthy Indiana Plan as an alternative to Medicaid expansion. State costs for the overall program are expected to reach $185 million in FY2017.
IowaAll years: 150,000FY2015: 133,056Not provided$24 millionIowa obtained a federal waiver to create its Iowa Health and Wellness Plan as an alternative to Medicaid expansion.
KentuckyFY2014: 147,634FY2014: 310,887$33 million$74 million
MarylandFY2015: 164,724FY2015: 220,442$30.9 million$53.6 millionMaryland officials said about 100,000 residents were moved off a program that previously provided limited health coverage funded entirely by the state.
MassachusettsNot availableNot availableNot availableNot availableMassachusetts had previously expanded Medicaid. Efforts to identify enrollment and cost projections were unsuccessful.
MichiganCY2014: 323,000CY2014: 506,000$100 million$150 million
MinnesotaFY2014:105,367 monthly average eligiblesFY2014:121,353 monthly average eligibles$42.3 million$57.96 millionMinnesota officials said residents were moved off a program that previously provided health care for childless adults paid for with a mix of state and federal money.
MontanaAll years: 70,000 to 80,000 eligible; 45,000 would enroll over next four yearsN/A$5.1 millionN/AThe Montana Legislature decided this year to expand its Medicaid program, but its waiver is still pending federal approval.
NevadaMay 2015: 144,340May 2015: 181,051$8.5 million$22.6 million
New HampshireFY2015: 34,000 new enrolleesFY2015: 41,018 new enrollees$9 million for new enrollees$12 million for new enrolleesFigures include the newly eligible and those previously eligible but not enrolled.
New JerseyAll years: 234,000As of May 2015: 382,746Not provided$162 millionEfforts to identify an initial cost projection were unsuccessful.
New MexicoCY2014: 133,386CY2014: 191,133$35.5 million$43.3 million
New YorkAs of June 2015: 78,953CY2014: 144,058$15.7 millionNot availableNew York was among states that had partially expanded Medicaid before the ACA implementation. It only had to raise the income threshold for childless adults. State officials say they have yet to do an update on costs.
North DakotaAll years: 20,500CY2014: 16,727$2.9 million$8.2 millionState officials say actual costs proved higher than projections.
OhioJune 2015: 366,000As of May 2015: 537,010$55.5 million$130 million
OregonFY2015: 222,700FY2015: 386,000$45 million$63 million
PennsylvaniaAll years: 600,000As of July 17, 2015: About 423,000Not availableNot availablePennsylvania’s expansion began Jan. 1 of this year. Efforts to identify cost projections were unsuccessful.
Rhode IslandFirst year of expansion: 51,000CY2014: 55,684$13.6 million$12.4 million
VermontFY2014: 34,490 average monthly eligiblesFY2014: 47,315 average monthly eligiblesNot availableNot availableVermont had previously expanded Medicaid, so these figures represent people who were previously eligible under the state plan. Officials say state costs will be greatly reduced as the federal government pays a larger share compared to the state plan in effect before the Affordable Care Act.
WashingtonCY2014: 244,667CY2014: 510,691$78.4 million$76.5 millionState officials attributed the difference between estimated and current costs to “minor adjustments” and not a significant revision. It was not immediately clear why costs declined slightly from projections even though enrollment was more than double the estimate.
West VirginiaFY2015: 78,500FY2015: 159,000$18.5 millionUnder revisionState officials say actual costs are expected to meet projections due to lower-than-expected individual costs.


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