Medicaid Expansion


On October 10, 2013, the Centers for Medicare and Medicaid Services granted the approval of Ohio’s state plan amendment which made $2.5 billion in federal funds available to extend Medicaid coverage to an additional 275,000 Ohioans.

On October 11, 2013, Gov. John Kasich announced the decision to move ahead with Medicaid expansion made possible under the Affordable Care Act via executive order. This decision was quickly followed by a State Controlling Board vote on October 21, 2013, to expand Medicaid from January 1, 2014, through Tuesday, June 30, 2015.

Because this decision was made by executive order, state legislators were prevented from having to cast votes on Medicaid expansion, something that many Republican lawmakers had hesitated to do for fear of having opposition in the 2014 primary election.

On February 2, 2015, the Kasich administration announced that Medicaid expansion did not need to be re-authorized by the Ohio General Assembly and reauthorization language would not be included in his executive budget proposal. The final budget will need to have funding appropriated for Medicaid operations.

State of Ohio Resources

Additional Information and Resources