Ohio Medicaid Expansion Study releases county-level projections

The Ohio Medicaid Expansion Study, a partnership between the Health Policy Institute of Ohio, the Ohio State University, Regional Economic Models, Inc., and the Urban Institute has released a policy brief describing the county-level impact of potentially expanding eligibility for Medicaid in Ohio. 


The brief provides projections of coverage and fiscal effects of a potential Medicaid expansion for all 88 counties in Ohio. The publication is the latest in a series of releases from the Ohio Medicaid Expansion Study. All of the material can be viewed at www.hpio.net/medicaid.

The U.S. Supreme Court decision on the Affordable Care Act last June gave states the option to expand Medicaid eligibility for nearly all residents with incomes up to 138 percent of the federal poverty level. Earlier this month Gov. John Kasich included an expansion of Medicaid in his proposed biennium budget.

The research is funded by the Health Foundation of Greater Cincinnati, the Mt. Sinai Health Care Foundation and the George Gund Foundation.

Attend HPIO's 2025 Health Policy Summit on Oct. 9, 2025

With limited resources and growing need, investing in policies that deliver the greatest impact is essential. This event will highlight strategies that improve health and wellbeing while reducing healthcare spending. Speakers will provide evidence-informed research responsive to today’s political climate, focusing on what works and why it matters now more than ever.

Register now