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Texas: medicaid expansion

Whether your state expanded Medicaid to low-income adults under the ACA, and when.

Single detailed source

Medicaid expanded?	No
Coverage began	—
Law ends expansion if federal funding drops?	—

Expansion covers most adults with incomes up to 138% of the federal poverty level. Federal work requirements for expansion adults begin in January 2027. In non-expansion states, many low-income adults fall into a coverage gap.

General information only, not legal, insurance or financial advice. Not affiliated with any government agency. Exceptions can apply. Confirm with the state agency, the court or a licensed professional in Texas.

How Texas compares

10 of 51 states and DC share this answer (No): Alabama, Florida, Georgia, Kansas, Mississippi, South Carolina, Tennessee, Wisconsin, Wyoming.

Also for Texas: Medicaid long-term care in Texas · Small estate limits in Texas · Will and trust rules in Texas · Estate and inheritance tax in Texas · Common law marriage in Texas · Property tax rates in Texas · Inheritance tax in Texas · Social Security tax in Texas · All Texas rules on one page

How we checked this

Status comes from KFF's state tracker of Medicaid expansion decisions, as of November 2026. Last checked: November 12, 2026. Laws change; confirm with the state agency or a licensed professional before acting.

Cross-checked sources agree   Checked on official source confirmed on a government, court or legislature site   Single detailed source one detailed table built from statutes or official data   Under review sources disagree; read the note and the law.