While Medicaid expansion is a major factor, other policy decisions made by states also influence their uninsured rate, especially among the poor and minorities. This Fact Sheet compares the change in insurance coverage in Kansas to that in other non-expansion states, as well as to the change in states that expanded Medicaid.
Thirty states and the District of Columbia have expanded their Medicaid programs since the Affordable Care Act (ACA) allowed them to expand on January 1, 2014. States that have not expanded their Medicaid programs had a higher uninsured rate than expansion states even before the implementation of the ACA. Since then, states that expanded Medicaid have experienced a larger drop in the uninsured rate than non-expansion states. The drop in the uninsured rate in Kansas has been significant, but is smaller than that seen in many other non-expansion states, especially among the poor and minorities.
Tracking changes in the uninsured rate can help policymakers understand how policy decisions—in addition to Medicaid expansion—affect insurance coverage.
The Kansas Health Institute (KHI) delivers objective information, conducts credible research, and supports civil dialogue enabling policy leaders to make informed health policy decisions that enhance their effectiveness as champions for a healthier Kansas. Established in 1995 with a multiyear grant from the Kansas Health Foundation, KHI is a nonprofit, nonpartisan educational organization based in Topeka.