Introduction
Medicaid is a program run by the federal and state governments to assist those with limited income with healthcare costs and can be used in conjunction with Medicare. The number of Medicaid enrollees has grown from about 74 million in 2017 to almost 90 million in 2021. Most recently, the Affordable Care Act greatly expanded Medicaid eligibility.
In 1965, President Lyndon Johnson signed the Social Security Amendments of 1965 which, among other things, established Medicaid. While Medicaid has been amended since its creation, it was greatly expanded by the Affordable Care Act (“ACA”); while the ACA has been controversial, it was constitutionally upheld by the Supreme Court in 2012 in National Federation of Independent Business v. Sebelius.
There is currently no single Medicaid system, but rather 50 different programs run by the individual states. Those state programs operate by either contracting private insurance companies to provide coverage or by directly paying providers. And while the different Medicaid programs have differences, states must comply with regulations by the federal government in order to receive federal funding for their Medicaid programs.
Learn for yourself how Medicaid enrollment changes by state by browsing the data in the charts.
| # | State | Medicaid Enrollment | Medicaid Income Limits |
|---|---|---|---|
| 1 | California | 13,812,733 | 138% |
| 2 | New York | 7,174,591 | 138% |
| 3 | Texas | 5,331,864 | 17% |
| 4 | Florida | 4,885,774 | 31% |
| 5 | Pennsylvania | 3,358,770 | 138% |
| 6 | Ohio | 3,303,833 | 138% |
| 7 | Illinois | 3,134,754 | 138% |
| 8 | Michigan | 2,861,917 | 138% |
| 9 | North Carolina | 2,567,190 | 41% |
| 10 | Georgia | 2,379,859 | 35% |
| 11 | Arizona | 2,236,948 | 138% |
| 12 | Washington | 2,024,227 | 138% |
| 13 | Massachusetts | 1,973,925 | 138% |
| 14 | Louisiana | 1,907,829 | 138% |
| 15 | New Jersey | 1,903,233 | 138% |
| 16 | Indiana | 1,827,297 | 138% |
| 17 | Tennessee | 1,740,256 | 93% |
| 18 | Virginia | 1,721,459 | 138% |
| 19 | Colorado | 1,529,934 | 138% |
| 20 | Maryland | 1,470,371 | 138% |
| 21 | Kentucky | 1,467,416 | 138% |
| 22 | South Carolina | 1,444,733 | 67% |
| 23 | Wisconsin | 1,440,621 | 100% |
| 24 | Minnesota | 1,259,989 | 138% |
| 25 | Alabama | 1,215,453 | 18% |
| 26 | Oregon | 1,188,935 | 138% |
| 27 | Connecticut | 1,119,287 | 160% |
| 28 | Missouri | 1,093,396 | 21% |
| 29 | Arkansas | 975,640 | 138% |
| 30 | New Mexico | 946,613 | 138% |
| 31 | Oklahoma | 939,117 | 41% |
| 32 | Mississippi | 785,517 | 25% |
| 33 | Nevada | 775,463 | 138% |
| 34 | Iowa | 725,581 | 138% |
| 35 | West Virginia | 613,518 | 138% |
| 36 | Utah | 445,714 | 138% |
| 37 | Hawaii | 425,360 | 138% |
| 38 | Idaho | 422,530 | 138% |
| 39 | Kansas | 421,782 | 38% |
| 40 | Maine | 353,763 | 138% |
| 41 | Nebraska | 341,569 | 138% |
| 42 | Rhode Island | 285,651 | 138% |
| 43 | Montana | 280,707 | 138% |
| 44 | District of Columbia | 270,662 | 221% |
| 45 | Delaware | 259,042 | 138% |
| 46 | Alaska | 239,925 | 138% |
| 47 | New Hampshire | 222,842 | 138% |
| 48 | Vermont | 193,604 | 138% |
| 49 | South Dakota | 123,627 | 48% |
| 50 | North Dakota | 107,903 | 138% |
| 51 | Wyoming | 74,376 | 52% |
Medicaid Enrollment by State
Alabama
Medicaid Enrollment
1,215,453
Ranked in the US
#25
Ranked in the US
#50
Alaska
Medicaid Enrollment
239,925
Ranked in the US
#46
Ranked in the US
#3
Arizona
Medicaid Enrollment
2,236,948
Ranked in the US
#11
Ranked in the US
#4
Arkansas
Medicaid Enrollment
975,640
Ranked in the US
#29
Ranked in the US
#5
California
Medicaid Enrollment
13,812,733
Ranked in the US
#1
Ranked in the US
#6
Colorado
Medicaid Enrollment
1,529,934
Ranked in the US
#19
Ranked in the US
#7
Connecticut
Medicaid Enrollment
1,119,287
Ranked in the US
#27
Ranked in the US
#2
Delaware
Medicaid Enrollment
259,042
Ranked in the US
#45
Ranked in the US
#8
District of Columbia
Medicaid Enrollment
270,662
Ranked in the US
#44
Ranked in the US
#1
Florida
Medicaid Enrollment
4,885,774
Ranked in the US
#4
Ranked in the US
#47
Georgia
Medicaid Enrollment
2,379,859
Ranked in the US
#10
Ranked in the US
#46
Hawaii
Medicaid Enrollment
425,360
Ranked in the US
#37
Ranked in the US
#9
Idaho
Medicaid Enrollment
422,530
Ranked in the US
#38
Ranked in the US
#10
Illinois
Medicaid Enrollment
3,134,754
Ranked in the US
#7
Ranked in the US
#11
Indiana
Medicaid Enrollment
1,827,297
Ranked in the US
#16
Ranked in the US
#12
Iowa
Medicaid Enrollment
725,581
Ranked in the US
#34
Ranked in the US
#13
Kansas
Medicaid Enrollment
421,782
Ranked in the US
#39
Ranked in the US
#45
Kentucky
Medicaid Enrollment
1,467,416
Ranked in the US
#21
Ranked in the US
#14
Louisiana
Medicaid Enrollment
1,907,829
Ranked in the US
#14
Ranked in the US
#15
Maine
Medicaid Enrollment
353,763
Ranked in the US
#40
Ranked in the US
#16
Maryland
Medicaid Enrollment
1,470,371
Ranked in the US
#20
Ranked in the US
#17
Massachusetts
Medicaid Enrollment
1,973,925
Ranked in the US
#13
Ranked in the US
#18
Michigan
Medicaid Enrollment
2,861,917
Ranked in the US
#8
Ranked in the US
#19
Minnesota
Medicaid Enrollment
1,259,989
Ranked in the US
#24
Ranked in the US
#20
Mississippi
Medicaid Enrollment
785,517
Ranked in the US
#32
Ranked in the US
#48
Missouri
Medicaid Enrollment
1,093,396
Ranked in the US
#28
Ranked in the US
#49
Montana
Medicaid Enrollment
280,707
Ranked in the US
#43
Ranked in the US
#21
Nebraska
Medicaid Enrollment
341,569
Ranked in the US
#41
Ranked in the US
#22
Nevada
Medicaid Enrollment
775,463
Ranked in the US
#33
Ranked in the US
#23
New Hampshire
Medicaid Enrollment
222,842
Ranked in the US
#47
Ranked in the US
#24
New Jersey
Medicaid Enrollment
1,903,233
Ranked in the US
#15
Ranked in the US
#25
New Mexico
Medicaid Enrollment
946,613
Ranked in the US
#30
Ranked in the US
#26
New York
Medicaid Enrollment
7,174,591
Ranked in the US
#2
Ranked in the US
#27
North Carolina
Medicaid Enrollment
2,567,190
Ranked in the US
#9
Ranked in the US
#43
North Dakota
Medicaid Enrollment
107,903
Ranked in the US
#50
Ranked in the US
#28
Ohio
Medicaid Enrollment
3,303,833
Ranked in the US
#6
Ranked in the US
#29
Oklahoma
Medicaid Enrollment
939,117
Ranked in the US
#31
Ranked in the US
#44
Oregon
Medicaid Enrollment
1,188,935
Ranked in the US
#26
Ranked in the US
#30
Pennsylvania
Medicaid Enrollment
3,358,770
Ranked in the US
#5
Ranked in the US
#31
Rhode Island
Medicaid Enrollment
285,651
Ranked in the US
#42
Ranked in the US
#32
South Carolina
Medicaid Enrollment
1,444,733
Ranked in the US
#22
Ranked in the US
#40
South Dakota
Medicaid Enrollment
123,627
Ranked in the US
#49
Ranked in the US
#42
Tennessee
Medicaid Enrollment
1,740,256
Ranked in the US
#17
Ranked in the US
#39
Texas
Medicaid Enrollment
5,331,864
Ranked in the US
#3
Ranked in the US
#51
Utah
Medicaid Enrollment
445,714
Ranked in the US
#36
Ranked in the US
#33
Vermont
Medicaid Enrollment
193,604
Ranked in the US
#48
Ranked in the US
#34
Virginia
Medicaid Enrollment
1,721,459
Ranked in the US
#18
Ranked in the US
#35
Washington
Medicaid Enrollment
2,024,227
Ranked in the US
#12
Ranked in the US
#36
West Virginia
Medicaid Enrollment
613,518
Ranked in the US
#35
Ranked in the US
#37
Wisconsin
Medicaid Enrollment
1,440,621
Ranked in the US
#23
Ranked in the US
#38
Wyoming
Medicaid Enrollment
74,376
Ranked in the US
#51
Ranked in the US
#41
Need to survey a highly targeted audience?
Talk to our Experts