State	Medicaid/CHIP Income Eligibility Limit for Pregnant Women (& FPL)	ACA Medicaid Expansion Status	Status of State Action	Limits on Coverage Period, Eligible Population, and/or Benefits	Footnotes	Notes for Map
Alabama	1.46	Not Adopted	12-month extension implemented	None	CMS approved Alabama's state plan amendment on January 13, 2023.	CMS approved Alabama's state plan amendment on January 13, 2023.
Alaska	2.05	Adopted	12-month extension implemented	None	CMS approved Alaska's state plan amendment on February 23, 2024.	CMS approved Alaska's state plan amendment on February 23, 2024.
Arizona	1.61	Adopted	12-month extension implemented	None	CMS approved Arizona's state plan amendment on April 6, 2023.	CMS approved Arizona's state plan amendment on April 6, 2023.
California	2.13	Adopted	12-month extension implemented	None	CMS approved California's state plan amendment on May 25, 2022. 	CMS approved California's state plan amendment on May 25, 2022. 
Colorado	2.65	Adopted	12-month extension implemented	None	CMS approved Colorado's state plan amendment on March 14, 2023	CMS approved Colorado's state plan amendment on March 14, 2023
Connecticut	2.63	Adopted	12-month extension implemented	None	CMS approved Connecticut's state plan amendment on July 26, 2022.	CMS approved Connecticut's state plan amendment on July 26, 2022.
Delaware	2.17	Adopted	12-month extension implemented	None	CMS approved Delaware's state plan amendment on May 15, 2023.	CMS approved Delaware's state plan amendment on May 15, 2023.
District of Columbia	3.24	Adopted	12-month extension implemented	None	CMS approved the District of Columbia's state plan amendment on June 16, 2022. 	CMS approved the District of Columbia's state plan amendment on June 16, 2022. 
Florida	1.96	Not Adopted	12-month extension implemented	None	Florida has implemented its postpartum extension through a Section 1115 waiver.	Florida has implemented its postpartum extension through a Section 1115 waiver.
Georgia	2.25	Not Adopted	12-month extension implemented	None	CMS approved Georgia's state plan amendment on October 27, 2022.	CMS approved Georgia's state plan amendment on October 27, 2022.
Hawaii	1.96	Adopted	12-month extension implemented	None	CMS approved Hawaii's state plan amendment on August 16, 2022.	CMS approved Hawaii's state plan amendment on August 16, 2022.
Idaho	1.38	Adopted	12-month extension implemented	None	CMS approved Idaho's state plan amendment on January 17, 2025	CMS approved Idaho's state plan amendment on January 17, 2025
Illinois	2.13	Adopted	12-month extension implemented	None	"CMS approved Illinois’ state plan amendment on October 20, 2022. 

Illinois also received approval for a CHIP state plan amendment to implement a health services initiative (HSI) to extend postpartum coverage from 60 days to 12 months under the CHIP unborn child option.  This coverage applies to postpartum individuals who are not eligible for Medicaid due to immigration status."	"CMS approved Illinois’ state plan amendment on October 20, 2022. 

Illinois also received approval for a CHIP state plan amendment to implement a health services initiative (HSI) to extend postpartum coverage from 60 days to 12 months under the CHIP unborn child option.  This coverage applies to postpartum individuals who are not eligible for Medicaid due to immigration status."
Indiana	2.13	Adopted	12-month extension implemented	None	"

In June 2021, Indiana withdrew a pending 1115 waiver (Maternal Opioid Misuse Indiana Initiative) that would have extended postpartum coverage only to pregnant individuals with opioid use disorder. In a letter to CMS, the state announced its intention to pursue the broader postpartum coverage extension under the American Rescue Plan Act and CMS approved Indiana's state plan amendment on September 8, 2022. "	"

In June 2021, Indiana withdrew a pending 1115 waiver (Maternal Opioid Misuse Indiana Initiative) that would have extended postpartum coverage only to pregnant individuals with opioid use disorder. In a letter to CMS, the state announced its intention to pursue the broader postpartum coverage extension under the American Rescue Plan Act and CMS approved Indiana's state plan amendment on September 8, 2022. "
Iowa	2.15	Adopted	12-month extension implemented	None	CMS approved Iowa's state plan amendment on January 6, 2025.	CMS approved Iowa's state plan amendment on January 6, 2025.
Kansas	1.71	Not Adopted	12-month extension implemented	None	CMS approved Kansas' state plan amendment on July 26, 2022.	CMS approved Kansas' state plan amendment on July 26, 2022.
Kentucky	2	Adopted	12-month extension implemented	None	CMS approved Kentucky's state plan amendment on May 25, 2022. 	CMS approved Kentucky's state plan amendment on May 25, 2022. 
Louisiana	1.38	Adopted	12-month extension implemented	None	CMS approved Louisiana's state plan amendment on April 1, 2022.	CMS approved Louisiana's state plan amendment on April 1, 2022.
Maine	2.14	Adopted	12-month extension implemented	None	CMS approved Maine's state plan amendment on June 16, 2022.	CMS approved Maine's state plan amendment on June 16, 2022.
Maryland	2.64	Adopted	12-month extension implemented	None	CMS approved Maryland's state plan amendment on August 16, 2022.	CMS approved Maryland's state plan amendment on August 16, 2022.
Massachusetts	2.05	Adopted	12-month extension implemented	None	"

In February 2022, Massachusetts sent a letter to CMS stating its intent to withdraw its pending 1115 waiver amendment under the MassHealth waiver that would have extended postpartum coverage to 12 months and instead pursue the postpartum coverage extension under the American Rescue Plan Act. On July 26, CMS approved Massachusetts' SPA for a 12-month PPC extension for Medicaid. 
 "	"

In February 2022, Massachusetts sent a letter to CMS stating its intent to withdraw its pending 1115 waiver amendment under the MassHealth waiver that would have extended postpartum coverage to 12 months and instead pursue the postpartum coverage extension under the American Rescue Plan Act. On July 26, CMS approved Massachusetts' SPA for a 12-month PPC extension for Medicaid. 
 "
Michigan	2	Adopted	12-month extension implemented	None	CMS approved Michigan's state plan amendment on April 14, 2022.	CMS approved Michigan's state plan amendment on April 14, 2022.
Minnesota	2.83	Adopted	12-month extension implemented	None	"CMS approved Minnesota's state plan amendment on June 16, 2022. 
 "	"CMS approved Minnesota's state plan amendment on June 16, 2022. 
 "
Mississippi	1.99	Not Adopted	12-month extension implemented	None	CMS approved Mississippi's state plan amendment on December 13, 2023	CMS approved Mississippi's state plan amendment on December 13, 2023
Missouri	3.05	Adopted	12-month extension implemented	None	CMS approved Missouri's state plan amendment on November 14, 2023	CMS approved Missouri's state plan amendment on November 14, 2023
Montana	1.62	Adopted	12-month extension implemented	None	CMS approved Montana's state plan amendment on October 16, 2023	CMS approved Montana's state plan amendment on October 16, 2023
Nebraska	2.02	Adopted	12-month extension implemented	None	CMS approved Nebraka's state plan amendment on December 8, 2023	CMS approved Nebraka's state plan amendment on December 8, 2023
Nevada	1.65	Adopted	12-month extension implemented	None	CMS approved Nevada's state plan amendment on May 3, 2024	CMS approved Nevada's state plan amendment on May 3, 2024
New Hampshire 	2.01	Adopted	12-month extension implemented	None	CMS approved New Hampshire's state plan amendment on Novemeber 3, 2023. 	CMS approved New Hampshire's state plan amendment on Novemeber 3, 2023. 
New Jersey	2.05	Adopted	12-month extension implemented	None	"Proposed/implemented postpartum Medicaid expansions in these states include continuous eligibility during the postpartum coverage period. Continuous eligibility allows postpartum individuals to remain enrolled during the extended postpartum period by disregarding changes in income which would make them ineligible for coverage. 

New Jersey has implemented its postpartum extension through a Section 1115 waiver. 



"	New Jersey's postpartum Medicaid expansion includes <b>continuous eligibility</b>, regardless of change in income, during the postpartum coverage period.
New Mexico	2.55	Adopted	12-month extension implemented	None	CMS approved New Mexico's state plan amendment on June 16, 2022. 	CMS approved New Mexico's state plan amendment on June 16, 2022. 
New York	2.23	Adopted	12-month extension implemented	None	CMS approved New York's state plan amendment on June 13, 2023. 	CMS approved New York's state plan amendment on June 13, 2023. 
North Carolina	2.01	Adopted	12-month extension implemented	None	CMS approved North Carolina's state plan amendment on September 22, 2022.	CMS approved North Carolina's state plan amendment on September 22, 2022.
North Dakota	1.62	Adopted	12-month extension implemented	None	CMS approved North Dakota's state plan amendment on January 12, 2023.	CMS approved North Dakota's state plan amendment on January 12, 2023.
Ohio	2.05	Adopted	12-month extension implemented	None	CMS approved Ohio's state plan amendment on August 16, 2022. 	CMS approved Ohio's state plan amendment on August 16, 2022. 
Oklahoma	1.38	Adopted	12-month extension implemented	None	CMS approved Oklahoma's state plan amendment on March 23, 2023	CMS approved Oklahoma's state plan amendment on March 23, 2023
Oregon	1.9	Adopted	12-month extension implemented	None	CMS approved Oregon's state plan amendment on May 25, 2022.	CMS approved Oregon's state plan amendment on May 25, 2022.
Pennsylvania	2.2	Adopted	12-month extension implemented	None	CMS approved Pennsylvania's state plan amendment on October 27, 2022.	CMS approved Pennsylvania's state plan amendment on October 27, 2022.
Rhode Island	2.58	Adopted	12-month extension implemented	None	CMS approved Rhode Island's state plan amendment on April 20, 2023.	CMS approved Rhode Island's state plan amendment on April 20, 2023.
South Carolina	1.99	Not Adopted	12-month extension implemented	None	"CMS approved South Carolina's state plan amendment on May 6, 2022.

"	CMS approved South Carolina's state plan amendment on May 6, 2022.
South Dakota	1.38	Adopted	12-month extension implemented	None	CMS approved South Dakota's state plan amendment on June 5, 2023. 	CMS approved South Dakota's state plan amendment on June 5, 2023. 
Tennessee	2	Not Adopted	12-month extension implemented	None	"Tennessee's Section 1115 waiver approved in January 2021 gives the state authority to add coverage allowable under the state plan without CMS approval. Tennessee exercised this authority to extend postpartum coverage to 12 months beginning on April 1, 2022, which CMS acknowledged and added to the waiver terms on April 4, 2022.

"	"Tennessee's Section 1115 waiver approved in January 2021 gives the state authority to add coverage allowable under the state plan without CMS approval. Tennessee exercised this authority to extend postpartum coverage to 12 months beginning on April 1, 2022, which CMS acknowledged and added to the waiver terms on April 4, 2022.<br>

"
Texas	2.03	Not Adopted	12-month extension implemented	None	CMS approved Texas's state plan amendment on January 17, 2024	CMS approved Texas's state plan amendment on January 17, 2024
Utah	1.44	Adopted	12-month extension implemented	None	CMS approved Utah's state plan amendment on March 8, 2024	CMS approved Utah's state plan amendment on March 8, 2024
Vermont	2.13	Adopted	12-month extension implemented	None	CMS approved Vermont's state plan ammendment on August 11, 2023	CMS approved Vermont's state plan ammendment on August 11, 2023
Virginia	2.05	Adopted	12-month extension implemented	None	"Virginia has implemented its postpartum extension through a Section 1115 waiver. 


Proposed/implemented postpartum Medicaid expansions in these states include continuous eligibility during the postpartum coverage period. Continuous eligibility allows postpartum individuals to remain enrolled during the extended postpartum period by disregarding changes in income which would make them ineligible for coverage."	"Virginia has implemented its postpartum extension through a Section 1115 waiver. <br>

Virginia's postpartum Medicaid expansion includes <b>continuous eligibility</b>, regardless of change in income, during the postpartum coverage period."
Washington	1.98	Adopted	12-month extension implemented	None	CMS approved Washington's state plan amendment on June 30, 2022.	CMS approved Washington's state plan amendment on June 30, 2022.
West Virginia	3.05	Adopted	12-month extension implemented	None	CMS approved West Virginia's state plan amendment on September 8, 2022.	"CMS approved West Virginia's state plan amendment on Setember 8, 2022.

"
Wisconsin	3.06	Not Adopted	12-month extension implemented		Press release from the Governor's office announced that the 12 month postpartum extension went into effect 7/1/2026.	Press release from the Governor's office announced that the 12 month postpartum extension went into effect 7/1/2026.
Wyoming	1.59	Not Adopted	12-month extension implemented	None	CMS approved Wyoming's state plan amendment on September 14, 2023.	CMS approved Wyoming's state plan amendment on September 14, 2023.