The Implications of Medicaid Expansion in the Remaining States: 2020 Update

This report finds that if the 15 states that have not expanded Medicaid eligibility  chose to do so in 2020, 3.9 million fewer people would have been uninsured, federal spending on health care would have increased by $30.4 billion, and state spending on Medicaid would have increased by $4.7 billion. This additional state spending would fully or largely be offset by savings in other areas.