Medicaid’s Role for Individuals with HIV
| Medicaid’s Role in Care for Individuals with HIV by State | |||||||
| State | Adults and adolescents living with diagnosed HIV (2014) |
Annual Rate (per 100,000) of New Diagnosis for Individuals of All Ages (2015) |
Medicaid Enrollees Living with HIV (2011) |
Annual Death Rate (per 100,000)of Adults and Adolescents with Diagnosed HIV (2013) |
Medicaid Coverage of HIV Treatments | ||
| HIV Drug Treatment (2017) |
Lab Services (2017) |
Routine HIV Testing (2013)* |
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| Expanded Medicaid/Republican Governor | |||||||
| Arizona | 14,726 | 10.5 | 2,600 | 3.9 | Yes | Yes | Yes |
| Arkansas | 5,174 | 8.7 | 900 | 4.4 | Yes | Yes | No |
| Illinois | 34,843 | 11.5 | 8,700 | 6.3 | Yes | Yes | Yes |
| Indiana | 10,279 | 9.6 | 2,300 | 3.4 | Yes | Yes | No |
| Iowa | 2,355 | 4.0 | 600 | 1.6 | Yes | Yes | No |
| Kentucky | 6,511 | 7.6 | 1,200 | 3.2 | Yes | Yes | Yes |
| Maryland | 32,002 | 22.4 | 8,300 | 6.1 | Yes | Yes | No |
| Massachusetts | 19,290 | 8.9 | 7,500 | 4.0 | Yes | Yes | Yes |
| Michigan | 14,944 | 7.3 | 5,500 | 2.6 | Yes | Yes | No |
| Nevada | 8,405 | 16.8 | 900 | 5.7 | Yes | Yes | Yes |
| New Hampshire | 1,240 | 1.7 | 300 | 1.2 | Yes | Yes | Yes |
| New Jersey | 35,682 | 13.3 | 7,800 | 11.1 | Yes | Yes | Yes |
| New Mexico | 3,096 | 6.5 | 500 | 2.0 | Yes | Yes | Yes |
| North Dakota | 306 | 2.9 | 100 | 0.6 | Yes | Yes | Yes |
| Ohio | 19,911 | 8.0 | 3,800 | 3.1 | Yes | Yes | Yes |
| Vermont | 662 | 1.9 | 300 | 2.1 | Yes | Yes | Yes |
| State Average | 13,089 | 8.9 | 3,206 | 3.8 | 16/16 | 16/16 | 11/16 |
| Expanded Medicaid/Democratic or Independent Governor | |||||||
| Alaska | 637 | 3.3 | 200 | 3.4 | Yes | Yes | Yes |
| California | 119,589 | 12.1 | 25,300 | 5.1 | Yes | Yes | Yes |
| Colorado | 11,199 | 6.9 | 800 | 2.4 | Yes | Yes | Yes |
| Connecticut | 10,236 | 7.6 | 4,700 | 6.3 | Yes | Yes | Yes |
| Delaware | 3,213 | 11.5 | 1,600 | 8.2 | Yes | Yes | Yes |
| District of Columbia | 15,200 | 57.0 | 5,800 | 39.7 | Yes | Yes | Yes |
| Hawaii | 2,741 | 8.0 | 600 | 0.9 | Yes | Yes | Yes |
| Louisiana | 18,950 | 24.2 | 5,300 | 12.4 | Yes | Yes | Yes |
| Minnesota | 7,549 | 5.2 | 2,200 | 1.8 | Yes | Yes | Yes |
| Montana | 548 | 1.8 | 100 | 1.1 | Yes | Yes | Yes |
| New York | 130,753 | 15.8 | 59,900 | 14.0 | Yes | Yes | Yes |
| Oregon | 6,275 | 5.2 | 1,400 | 3.0 | Yes | Yes | Yes |
| Pennsylvania | 33,593 | 9.2 | 3,800 | 6.0 | Yes | Yes | Yes |
| Rhode Island | 2,264 | 6.1 | 600 | 2.4 | Yes | Yes | Yes |
| Washington | 12,030 | 6.3 | 2,400 | 3.0 | Yes | Yes | Yes |
| West Virginia | 1,896 | 4.0 | 500 | 2.0 | Yes | Yes | Yes |
| State Average | 23,542 | 11.5 | 7200 | 7.0 | 16/16 | 16/16 | 16/16 |
| Did Not Expand Medicaid/Republican Governor | |||||||
| Alabama | 12,439 | 9.9 | 2,600 | 7.2 | Yes | Yes | No |
| Florida | 103,696 | 24.0 | 25,800 | 13.6 | Yes | Yes | No |
| Georgia | 46,870 | 23.4 | 8,200 | 5.6 | Yes | Yes | No |
| Idaho | 1,031 | 2.4 | 200 | 0.9 | Yes | Yes | Yes |
| Kansas | 2,884 | 5.1 | 600 | 2.6 | Yes | Yes | Yes |
| Maine | 1,454 | 3.5 | 500 | 1.1 | Yes | Yes | No |
| Mississippi | 8,983 | 17.0 | 2,400 | 8.1 | Yes | Yes | No |
| Missouri | 11,560 | 7.7 | 3,100 | 3.9 | Yes | Yes | Yes |
| Nebraska | 2,014 | 4.3 | 400 | 1.7 | Yes | Yes | No |
| Oklahoma | 5,605 | 8.2 | 1,200 | 3.8 | Yes | Yes | Yes |
| South Carolina | 15,942 | 14.2 | 2,800 | 8.1 | Yes | Yes | No |
| South Dakota | 492 | 2.9 | 100 | 0.5 | Yes | Yes | No |
| Tennessee | 16,163 | 10.9 | 3,700 | 6.8 | Yes | Yes | Yes |
| Texas | 77,896 | 16.3 | 11,100 | 6.2 | Yes | Yes | Yes |
| Utah | 2,618 | 3.9 | 300 | 0.9 | Yes | Yes | No |
| Wisconsin | 5,952 | 4.0 | 2,100 | 1.9 | Yes | Yes | Yes |
| Wyoming | 269 | 2.6 | 100 | 0.7 | Yes | Yes | Yes |
| State Average | 18,580 | 9.4 | 3,835 | 4.3 | 17/17 | 17/17 | 8/17 |
| Did Not Expand Medicaid/Democratic Governor | |||||||
| North Carolina | 28,897 | 13.4 | 7,300 | 6.7 | Yes | Yes | Yes |
| Virginia | 21,740 | 11.4 | 3,200 | 5.5 | Yes | Yes | No |
| State Average | 25,319 | 12.4 | 5,250 | 6.1 | 2/2 | 2/2 | 1/2 |
| *All states are required to cover medically necessary HIV testing; some states have expanded coverage to include routine HIV testing. Data table prepared by Kaiser Family Foundation. |
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Medicaid’s Role for Individuals with HIV Source List
Center for Disease Control & Prevention. National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention (NCHHSTP) Atlas Plus; accessed March 2017.
Center for Disease Control & Prevention. HIV Surveillance Supplemental Report, Monitoring Selected National HIV Prevention and Care Objectives by Using HIV Surveillance Data, Vol. 21, No. 4; July 2016.
Center for Disease Control & Prevention. Communities in Crisis: Is There a Generalized HIV Epidemic in Impoverished Urban Areas of the United States?; accessed March 2017.
Kaiser Family Foundation. HIV/AIDS in the United States: The Basics; February 2017.
Kaiser Family Foundation. Insurance Coverage Changes for People with HIV Under the ACA; February 2017.
Kaiser Family Foundation. Medicaid and HIV; October 2016.