As many as 9 million people who were expected to get Medicaid under the health law may not if all of the 26 states that challenged the law decide not to expand their programs, according to the Urban Institute. The Supreme Court Thursday ruled that the Medicaid expansion is optional for states. Here is an estimate of how many people in each state are expected to gain Medicaid coverage under the health law, if all states move forward. The estimates come from a 2010 report by the Kaiser Commission on Medicaid and the Uninsured.
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States That Challenged The Law includes all states that were plaintiffs in either the Florida vs. HHS or Virginia vs. Sebelius federal lawsuits.
| State | Projected New Medicaid Enrollees |
| States That Challenged The Law | |
| Alabama | 351,567 |
| Alaska | 42,794 |
| Arizona | 105,428 |
| Colorado | 245,730 |
| Florida | 951,622 |
| Georgia | 646,557 |
| Idaho | 85,883 |
| Indiana | 297,737 |
| Iowa | 114,691 |
| Kansas | 143,445 |
| Louisiana | 366,318 |
| Maine | 43,468 |
| Michigan | 589,965 |
| Mississippi | 320,748 |
| Nebraska | 83,898 |
| Nevada | 136,563 |
| North Dakota | 28,864 |
| Ohio | 667,376 |
| Pennsylvania | 482,366 |
| South Carolina | 344,109 |
| South Dakota | 31,317 |
| Texas | 1,798,314 |
| Virginia | 372,470 |
| Wisconsin | 205,987 |
| Utah | 138,918 |
| Washington | 295,662 |
| Wyoming | 29,899 |
| States That Did Not Challenge The Law | |
| Arkansas | 200,690 |
| California | 2,008,796 |
| Connecticut | 114,083 |
| Delaware | 12,081 |
| District of Columbia | 28,900 |
| Hawaii | 84,130 |
| Illinois | 631,024 |
| Kentucky | 329,000 |
| Maryland | 245,996 |
| Massachusetts | 29,921 |
| Minnesota | 251,783 |
| Missouri | 307,872 |
| Montana | 57,356 |
| New Hampshire | 55,918 |
| New Jersey | 390,490 |
| New Mexico | 145,024 |
| New York | 305,945 |
| North Carolina | 633,485 |
| Oklahoma | 357,150 |
| Oregon | 294,600 |
| Rhode Island | 41,185 |
| Tennessee | 330,932 |
| Vermont | 4,484 |
| West Virginia | 121,635 |
| TOTAL | 15,904,173 |
| Source: The Kaiser Commission On Medicaid And The Uninsured | |