| State-by-State: How Health Reform Could Expand Medicaid by Lena Groeger ProPublica  Experts estimate that nearly 16 million Americans could be added to the Medicaid rolls by 2019 under an expansion in the Affordable Care Act. (HFP Editor's Note: In Hawaii 84,130 will be added to Medicaid.  Many will first lose their existing private health insurance.) The Supreme Court ruled Thursday that states can opt out without risk of losing federal support for Medicaid, raising the stakes that some may do so. Here is a look at forecast growth in state Medicaid rolls under the expansion. Twenty-six challenged the act in court.  LINK: Mouse over each state for more information Source: Kaiser Family Foundation  Medicaid Coverage and Spending in Health Reform: National and State‐by‐State Results for Adults at or Below 133% FPL. Prepared by: John Holahan and Irene Headen, Urban Institute, May 2010 Related: Mystery After the Health Care Ruling: Which States Will Refuse Medicaid Expansion?   |