By: Adam Sampiev

Following the Supreme Court’s ruling of the mandate to expand Medicaid to 133% of poverty unconstitutional, states have split on how to move forward with regard to this highly political issue in an election year.

At least 15 governors, including 14 are Republicans and one Democrat (AL, GA, IN, MS, MO, NV, TX, VA, FL, IA, KS, LA, NE, SC, WI), have indicated they will not participate in the expansion of Medicaid under the Affordable Care Act.

On the other hand, 13 governors, including 12 are Democrats and one Independent (CA, CT, HI, IL, MA, MN, MD, NY, OR, RI, VT, WA, AR), have expressed their readiness to move ahead with the expansion.

The 22 remaining states (AK, AZ, CO, DE, ID, KY, ME, MI, MT, NH, NJ, NM, NC, ND, OH, OK, PA, SD, TN, UT, WV, WY) have not yet taken a public position with several indicating they are cautiously considering their options.

NACHC continues to monitor states’ reactions to the Supreme Court’s decision and will keep you posted on new developments. We’re very interested in what you’ve been hearing! Please share any thoughts or insight!