State participation in the Medicaid expansion provision of the affordable care act: Implications for uninsured individuals with a behavioral health condition


(For resources, this is the publication date. For programs, this is the date posted.)


Ali MM, Mutter R, Teich JL.
Substance Abuse and Mental Health Services Administration (SAMHSA)

The ACA expands Medicaid coverage to adults below 138 percent of the Federal Poverty Level (FPL) (i.e., $15,856 for an individual or $26,951 for a family of three in 2013). However, a June 2012 Supreme Court decision allowed states to opt out of Medicaid expansion.4 As of April 2015, 29 states, including the District of Columbia, were participating in Medicaid expansion, 6 states were undecided, and 16 states were not participating.5,6 In states that do not expand Medicaid or are undecided, many individuals may remain uninsured. This report compares estimates of Medicaid-eligible uninsured individuals with a behavioral health disorder living in Medicaid expansion, non-Medicaid expansion, and undecided states.