State rankings
States Without Obamacare Exchanges
States Without Obamacare Exchanges: compare 51 US states on 3 metrics.
Medicaid Expansion (Obamacare) Status 2024
2 values across 51 entries
Data
Click a column to sort.
51 states
Alabama | Not Adopted | — | — |
Alaska | Adopted and Implemented | September 1, 2015 | — |
Arizona | Adopted and Implemented | January 4, 2014 | — |
Arkansas | Adopted and Implemented | January 4, 2014 | — |
California | Adopted and Implemented | January 4, 2014 | — |
Colorado | Adopted and Implemented | January 4, 2014 | — |
Connecticut | Adopted and Implemented | January 4, 2014 | — |
Delaware | Adopted and Implemented | January 4, 2014 | — |
| Adopted and Implemented | January 4, 2014 | — | |
Florida | Not Adopted | — | — |
Georgia | Not Adopted | — | — |
Hawaii | Adopted and Implemented | January 4, 2014 | — |
Idaho | Adopted and Implemented | January 1, 2020 | — |
Illinois | Adopted and Implemented | January 4, 2014 | — |
Indiana | Adopted and Implemented | February 1, 2015 | — |
Iowa | Adopted and Implemented | January 4, 2014 | — |
Kansas | Not Adopted | — | — |
Kentucky | Adopted and Implemented | January 4, 2014 | — |
Louisiana | Adopted and Implemented | July 1, 2016 | — |
Maine | Adopted and Implemented | January 10, 2019 | With coverage retroactive to July 2, 2018 |
Maryland | Adopted and Implemented | January 4, 2014 | — |
Massachusetts | Adopted and Implemented | January 4, 2014 | — |
Michigan | Adopted and Implemented | April 1, 2014 | — |
Minnesota | Adopted and Implemented | January 4, 2014 | — |
Mississippi | Not Adopted | — | — |
Missouri | Adopted and Implemented | October 1, 2021 | — |
Montana | Adopted and Implemented | January 1, 2016 | With coverage retroactive to July 1, 2021 |
Nebraska | Adopted and Implemented | October 1, 2020 | — |
Nevada | Adopted and Implemented | January 4, 2014 | — |
New Hampshire | Adopted and Implemented | August 15, 2014 | — |
New Jersey | Adopted and Implemented | January 4, 2014 | — |
New Mexico | Adopted and Implemented | January 4, 2014 | — |
New York | Adopted and Implemented | January 4, 2014 | — |
North Carolina | Adopted and Implemented | December 1, 2023 | — |
North Dakota | Adopted and Implemented | January 4, 2014 | — |
Ohio | Adopted and Implemented | January 4, 2014 | — |
Oklahoma | Adopted and Implemented | July 1, 2021 | — |
Oregon | Adopted and Implemented | January 4, 2014 | — |
Pennsylvania | Adopted and Implemented | January 1, 2015 | — |
Rhode Island | Adopted and Implemented | January 4, 2014 | — |
South Carolina | Not Adopted | — | — |
South Dakota | Adopted and Implemented | July 1, 2023 | — |
Tennessee | Not Adopted | — | — |
Texas | Not Adopted | — | — |
Utah | Adopted and Implemented | January 1, 2020 | — |
Vermont | Adopted and Implemented | January 4, 2014 | — |
Virginia | Adopted and Implemented | January 1, 2019 | — |
Washington | Adopted and Implemented | January 4, 2014 | — |
West Virginia | Adopted and Implemented | January 4, 2014 | — |
Wisconsin | Not Adopted | — | — |
Wyoming | Not Adopted | — | — |
Quick answers
- Where does this states without obamacare exchanges data come from?
- Rankodex compiles it from World Population Review and the primary sources it cites: Status of State Medicaid Expansion Decisions Interactive Map - KFF.org; Medicaid - DHCF; Affordable Care Act - Wiki; Puerto Rico - Medicaid.

















































