Number of uninsured U.S. adults in the Medicaid coverage gap in 2021, by state

In 2021, it was estimated that more than nearly 3.5 million non-elderly uninsured adults would be eligible for Medicaid if all ten non-expansion states expanded Medicaid coverage. This includes 1.9 million adults in the Medicaid coverage gap. These were adults in Medicaid non-expansion states who earned too much to be eligible for Medicaid in their state, but still less than the Federal poverty level, and thus ineligible for Medicaid marketplace subsidy and unable to afford private health insurance. Furthermore, approximately 1.6 million with income between 100%-138% federal poverty level would also become eligible for Medicaid if all states expanded. Medicaid coverage provides more comprehensive benefits and lower premiums or cost-sharing than subsidized marketplace coverage. The uninsured in Texas account for the highest number of those who would benefit from Medicaid expansion. This statistic illustrates the number of non-elderly uninsured adults in non-expansion states who would be eligible for Medicaid if their states expanded coverage as of 2021.