Differences Between Expansion and Non-Expansion Medicaid Beneficiaries

Jane Tavares, Marc Cohen

This analysis compares individuals eligible for Medicaid through ACA expansion (100–138% of the Federal Poverty Line) with those under 100% FPL. Expansion enrollees face deep poverty, poor health, high out-of-pocket costs, and functional limitations. Many are not in the workforce due to serious health conditions, with profiles closely resembling traditional Medicaid recipients.

Research Brief