State Medicaid Expansion Data - 2014

EXPANDING MEDICAID: Better health, jobs, and economic activity for states 24 states have chosen not to accept federal funds that would provide affordable health insurance to more low-income residents by expanding Medicaid. A recent report by the White House Council of Economic Advisers, Missed Opportunities: The Consequences of State Decisions not to Expand Medicaid, outlines health and economic opportunities that residents in non-Medicaid expansion states are missing. Based on that data, this graphic shows how residents of each of those 24 states would benefit from gains in health, economic growth, and job creation if their state chose to expand Medicaid. BETTER HEALTH Expanding Medicaid will mean that more state residents will have access to health care, get recommended preventive health services, and get the care they need when they are sick. In each of the 24 states, the Council of Economic Advisers estimated that more residents would report being in good or excellent health if the state chose to expand Medicaid. EFFECTS ON ACCESS TO CARE AND HEALTH OUTCOMES IF STATE EXPANDS MEDICAID* Additional People Reporting Good, Very Good, or Excellent Health Mississippi 22,000 Oklahoma 16,000 Texas 161,000 Florida 113,000 Georgia 64,000 North Carolina 50,000 Wisconsin 16,000 Kansas 13,000 Utah 10,000 Pennsylvania 41,000 Indiana 35,000 Idaho 7,000 Nebraska 6,000 Louisiana 35,000 Missouri 34,000 Montana 5,000 Alabama 31,000 Maine 4,000 Tennessee 31,000 Alaska 3,000 Virginia 28,000 South Dakota 3,000 Wyoming 2,000 South Carolina 26,000 Not Yet Expanding Medicaid (Total) 757,000 WY TX SD FL GA AK IM VA OK MS SC FEDERAL DOLLARS Because the federal government pays virtually all of the costs of expanding Medicaid, states that choose to expand Medicaid receive an injection of federal dollars into their economies. The states that have already expanded Medicaid are receiving those funds right now. Leaving that money on the table is a missed opportunity for state economic growth. NET INCREASE IN FEDERAL FUNDING IF STATE EXPANDS MEDICAID** (Millions of Dollars; Calendar Year 2016) Florida $5,530 M Wisconsin 920 Texas 4,910 Indiana 860 North Carolina 3,600 Oklahoma 570 Pennsylvania 2,970 Georgia 2,880 Maine 260 Kansas 250 Tennessee 1,900 Idaho 210 Missouri 1,440 South Dakota 150 Alabama 1,390 Nebraska 140 Mississippi 1,370 South Carolina 1,250 Alaska 120 Montana 11O Louisiana 1,200 Wyoming 100 Virginia 1,110 Utah <10 Not Yet Expanding Medicaid (Total) $31,870M MT ME ID SD O WI WY. PA NE • IN UT мо VA KS $32 BILLION NG TN OK TOTAL AMOUNT SC (ESTIMATED) OF MS AL GA FEDERAL FUNDING THAT NON-EXPANSION TX LA STATES WOULD AK RECEIVE IN 2016 IF FL THEY HAD EXPANDED MEDICAID IN 2014 ECONOMIC GROWTH Gross domestic product (GDP) is the total annual value of goods and services produced in a state. Growing GDP is one of the primary indicators of economic growth. The injection of federal dollars into states that expand Medicaid creates economic growth in several ways: • More residents will have insurance and be able to pay for the health care they need, increasing demand for medical services. • With insurance to cover health care costs, residents have more money to pay for other goods and services, helping the economy to grow broadly. • With more people insured, the cost of providing care that was previously not paid for (uncompensated care) falls. That saves money for everyone who provides or pays for uncompensated care-directly or indirectly-like hospitals; city, county and state governments; employers who provide health insurance; and state taxpayers. INCREASE IN GROSS DOMESTIC PRODUCT IF STATE EXPANDS MEDICAID** (Millions of Dollars; Calendar Year 2016) Florida $2,520 M Indiana 430 Texas 2,270 Wisconsin 430 North Carolina 1,630 Oklahoma 270 Pennsylvania 1,370 Georgia 1,310 Kansas 130 Maine 120 Tennessee 870 Idaho 100 Missouri 660 Nebraska 70 Alabama 620 South Dakota 70 Mississippi 620 Alaska 60 South Carolina 580 Montana 60 Louisiana 550 Wyoming 40 Utah Virginia 510 30 Not Yet Expanding Medicaid (Total) $14,670M MT ME ID SD. WI WY PA NE O IN UT VA KS MO NC TN ок MS AL GA TX LA AK FL JOBS States that don't expand Medicaid miss an opportunity for economic growth. That also means a missed opportunity for new jobs. If each of the 24 states had expanded Medicaid in 2014, all states would see significant job growth relative to the population of their states in 2016. INCREASE IN EMPLOYMENT IF STATE EXPANDS MEDICAID** (Number of Workers; Calendar Year 2016) Florida 17,60O Indiana 3,100 Texas 16,000 Wisconsin 3,000 North Carolina 11,300 Oklahoma 1,900 Pennsylvania 9,600 Georgia 9,100 Tennessee 6,000 Kansas 900 Maine 800 Idaho 700 Missouri 4,600 Nebraska 500 Alabama 4,300 South Dakota 500 Mississippi 4,300 Alaska 400 South Carolina 4,000 Montana 400 Louisiana 3,900 Utah 300 Virginia 3,600 Wyoming 300 Not Yet Expanding Medicaid (Total) 103,100 FL 17,600 TX 16.000 11,300 PA 9,600 GA 9,100 TN MO 6,000 4,600 TN мо 6k jobs is on par with several of Tennessee's AL 4,300 4.6k jobs is more than MS 4,300 the number of Monsanto SC 4,000 employees in Missouri. 10 largest employers." LA 3,900 3,600 3,100 VA IN WI 3.000 OK 1,900 MS KS 900 The 4.3k jobs created is more than the number of employees at Mississippi State University.? ME 800 ID 700 NED 500 SD 500 AK 400 MT 400 UT 300 WY 300 ME The 800 jobs created is equal to the number of employees at Bowdoin College." Source: White House Council of Economic Advisers report, "Missed Opportunities: The Consequences of State Decisions not to Expand Medicaid" July 2014 * Using the state with the highest number of people who reported their health as good, very good, or excellent as a baseline (Texas), we then calculated the relative percentages of respondents who reported their health as their health as good, very good, or excellent for the rest of non-Medicald expansion states. **These numbers are projections based on what would have happened if the state had expanded Medicaid on January 1, 2014. " CareerOneStop, sponsored by the U. S. Department of Labor, Employment and Training Administration information largest employers http://www.careerinfonet.org/oview6.asp?soccode=&stfips=23&from=State&id=11&nodeid=12 Maine, accessed July 21, 2014 at 2 CareerOneStop, sponsored by the U. S. Department of Labor, Employment and Training Administration information largest employers http://www.careerinfonet.org/oview6.asp?soccode=&stfips=28&from=State&id=11&nodeid=12 Mississippi, accessed July 21, 2014 at * CareerOneStop, sponsored by the U. S. Department of Labor, Employment and Training Administration information largest employers http://www.careerinfonet.org/oview6.asp?id=&soccode=&nodeid=12&stfips=29&from=State "CareerOneStop, sponsored by the U. S. Department of Labor, Employment and Training Administration information largest employers http://www.careerinfonet.org/oview6.asp?soccode=&stfips=47&from=State&id=11&nodeid=12 Missouri, accessed July 21, 2014 at Tennessee, accessed July 21, 2014 at July 2014 FamliesUSA.org FAMILIESUSA PA IN LA MO NC AL ME KS UT NE MT