Virginia only state to see decrease in uninsured after Medicaid expansion

Thanks to Medicaid expansion, Virginia’s uninsured rate dropped to a historic low of 7.9 percent. The data, from the U.S. Census Bureau, is the first to reflect rates since Medicaid expansion became effective after it was implemented in early 2019.


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Virginia was one of only two states to implement Medicaid expansion at that time and the only state to see a decrease in its uninsured rate, which fell .09 percentage points from 8.8 percent to 7.9 percent.

“This drop in the number of uninsured people in Virginia is the direct result of the decision to expand Medicaid and reject rigid work requirement proposals,” said Ashley C. Kenneth, senior vice president for Policy and Legislative Affairs at The Commonwealth Institute. “Nearly 463,000 adults currently have health coverage in Virginia due to Medicaid expansion.” 

There are currently 658,000 individuals still uninsured as of 2019, prior to the onset of the pandemic.


State Health Access Data Assistance Center


Medicaid expansion eligibility rules allowed for 1.5 million individuals to qualify. Most of those are served by Medallion 4.0 and Commonwealth Coordinated Care Plus. As of early 2020, 380,000 Virginia adults were enrolled. In early 2019, 49 percent of enrollees were children, 11 percent were pregnant women and parents, 11 percent were individuals with disabilities and 24 percent were newly eligible under Medicaid expansion.