Medicaid expansion rejected, hundreds of thousands left in coverage gap
Enacted9/10
Florida · State decision not to expand Medicaid under ACA · Effective Jan 1, 2014
Impact 9/10
Florida has declined to adopt the ACA Medicaid expansion since it became available in January 2014 and remains one of ten non-expansion states as of 2026. KFF estimates about 1.2 million uninsured adults nationwide fall into the coverage gap, and the majority live in Texas, Florida, and Georgia. Those in the gap earn too much for Florida's limited Medicaid program but too little to qualify for ACA marketplace subsidies, leaving them with no affordable coverage option.
HealthcareWork & wagesWorking-age adultsLow-incomeRural residentsImmigrants
Sources
✓ Verified against primary sources 2026-08-16