Where the states stand on Medicaid expansion 36 states, D.C., have expanded Medicaid

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The Supreme Court's 2012 ruling on the Affordable Care Act (ACA) allowed states to opt out of the law's Medicaid expansion, leaving each state's decision to participate in the hands of the nation's governors and state leaders.

Now, amid perennial debate over whether to repeal and replace the Affordable Care Act, the fate of Medicaid expansion remains uncertain. However, the Nov. 6 midterm elections proved significant as voters in three conservative states decided to expand coverage to hundreds of thousands of people, while voters in Montana chose to allow their state's Medicaid expansion to expire in 2019.

The Daily Briefing editorial team has been tracking where each state stands on Medicaid expansion, combing through lawmakers' statements, press releases, and media coverage. In this latest iteration of our Medicaid map, we've determined each state's position and outlined any possible expansion efforts.

We will continue to update this map as more information becomes available. Send us news, tips, and feedback by commenting below or emailing dailybriefing@advisory.com.

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