2025 OHIO MEDICAID EXPANSION STUDY

HPIO has launched an expansive study on the potential impacts of the elimination of Medicaid expansion in Ohio. This publication is a 4-page summary of the full project.

Since Ohio expanded Medicaid eligibility in 2014, hundreds of thousands of residents with lower incomes – including people who are working, parents, grandparents, veterans and caregivers – have gained access to medically necessary health care. As of March 2025, nearly 770,000 Ohioans are covered through Medicaid expansion. 

The federal Affordable Care Act (ACA) and a subsequent U.S. Supreme Court decision permitted states to expand Medicaid eligibility to adults earning less than 138% of the federal poverty level (FPL). The federal  government pays 90% of the cost of the Medicaid expansion group and the state government pays 10%. The proposed 2026-2027 biennial state budget (House Bill 96) would discontinue Medicaid expansion if the enhanced FMAP for Medicaid expansion drops below 90%. 

Briefs in this series

HPIO is partnered with subject matter experts and two national research organizations, Urban Institute to conduct state budget impact modeling and Regional Economic Partners to undertake economic modeling. The findings from the study are included in a series of reports that look at:

► Access to mental health and substance use disorder treatment

► Parents, caregivers and their children

► The state budget

► Health insurance coverage and cost

► Jobs and the economy

Additional Resources

• Eliminating Medicaid Expansion in Ohio in Response to Reduced Federal Funding, prepared for HPIO by the Urban Institute
• Policy Considerations: The Future of Group VIII (expansion) Medicaid Coverage in Ohio, contains more general information and considerations about Medicaid expansion coverage as policymakers consider the future of the program 
• Ohio Medicaid Basics 2025, provides an overview of the Ohio Medicaid program, including eligibility, covered services, spending and recent policy changes

Facts and Figures

Use HPIO graphics and data in your work. To use the data graphics in your presentations, click here to access the slides on Google Drive, click “File” and then “Download.” This will allow the option to download individual slides or the full deck into PowerPoint slides, a jpg, pdf or other available media files.

Funders

Generous contributions from the following organizations have made the study possible: