The 10-year total cost to expand Medicaid among non-expansion states adds up to approximately $31.6 billion, according to an Urban Institute report.
Of the 23 states that have not expanded Medicaid, these 10 would have the lowest 10-year total cost to expand:
1. Maine — $(570) million*
2. Wisconsin — $(248) million*
3. Wyoming — $118 million
4. Alaska — $147 million
5. South Dakota — $157 million
6. Montana — $194 million
7. Idaho — $246 million
8. Nebraska — $250 million
9. Utah — $364 million
10. Kansas — $525 million
Considering that for every $1 invested in Medicaid expansion, $13.41 in federal funds flows into the state, non-expansion states are passing up almost $423.6 billion in federal Medicaid funds from 2013 to 2022.
*Maine and Wisconsin are shown with state Medicaid savings, indicated by placing numbers in parentheses, based on the assumed continuation of pre-Patient Protection and Affordable Care Act Medicaid eligibility for adults. State costs do not include offsetting savings and revenues.