The end of the continuous coverage requirement will exacerbate and highlight the coverage gap in the 11 states still refusing the federal Medicaid expansion. Importantly, generous federal fiscal incentives are available to states that newly expand Medicaid. These incentives were enacted in 2020, and will remain available on a permanent basis to those 11 states.

This fact sheet lays out the substantial federal financial incentives for Medicaid expansion remaining available to non-expansion states.