States WITH State-Funded Medical Programs

Notes: State residency is required in all states. Immigration status of children is not considered in these states.

1. California (Medi-Cal)

• Full coverage for low-income residents, including undocumented individuals.
• As of 2024: all low-income adults regardless of status.
• 2026: planned enrollment freeze for adults.
• 2027: planned introduction of premiums.

2. Colorado (Health First Colorado)

• Covers income-eligible children and pregnant women regardless of immigration status.

3. Connecticut (HUSKY Health)

• Covers children and pregnant individuals regardless of immigration status.

4. Illinois (All Kids)

• Covers all children regardless of immigration status.

5. Maine (MaineCare)

• Covers low-income residents, including children and pregnant women.

6. Massachusetts (MassHealth)

• Covers low-income children and pregnant individuals.
• Pregnant individuals: full benefits during pregnancy and up to 12 months postpartum regardless of status.

7. Minnesota (MinnesotaCare)

• Covers low-income residents, including undocumented children and adults.
• Adult enrollment expected to stop in 2026 due to budget cuts.

8. New Jersey (NJ FamilyCare)

• Children under 19: eligible regardless of immigration status.
• Pregnant individuals: must be lawfully present.

9. New York (Child Health Plus / NYC Care)

• Child Health Plus: all children under 19 regardless of status.
• NYC Care: expanded access for adults regardless of status.

10. Oregon (Oregon Health Plan)

• Covers low-income residents, including children and pregnant women.

11. Rhode Island (Rite Care)

• Covers low-income children and pregnant women regardless of status.

12. Utah (State CHIP Program)

• Covers health and dental care for eligible undocumented children and teens under 19.

13. Vermont (Dr. Dinosaur)

• Covers low-income residents including children and pregnant women.

14. Washington (Apple Health)

• Covers low-income residents, including children and pregnant women.

15. District of Columbia (DC Healthy Families)

• Covers low-income children and pregnant individuals.
• Healthcare Alliance: proposed cuts may reduce adult coverage after Aug 1, 2025.

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States WITHOUT State-Funded Programs

1. Alabama

• Emergency Medicaid only (life-threatening issues and childbirth).
• Free clinics and FQHCs provide sliding-scale services regardless of status.
• Presumptive Prenatal Medicaid: 60 days outpatient prenatal coverage.

2. Alaska

• Emergency Medicaid only.
• FQHCs and free clinics available.
• Hospital charity care available.

3. Arizona

• Emergency Medicaid only.
• FQHCs and free clinics offer full primary care on sliding scales.
• Hospital charity care available.

4. Arkansas

• Emergency Medicaid only.
• FQHCs and free clinics available.
• Hospital charity care available.

5. Delaware

• State-funded aid for children under 19.
• Must be US citizens or eligible non-citizens.
• Small household fees apply.

6. Florida

• Emergency Medicaid only.
• FQHCs and free clinics available.
• Hospital charity care available.

7. Georgia

• Emergency Medicaid only.
• FQHCs and community clinics available.

8. Hawaii

• Med-QUEST requires children to be citizens or eligible non-citizens.
• Proposed expansion to undocumented children failed to pass.

9. Idaho

• Emergency care only under EMTALA.
• HB 135 (effective July 2025) removes previous state-funded prenatal and immunization services.

10. Indiana

• Emergency care only.
• Nonprofits and health centers provide routine care.

11. Iowa

• Emergency Medicaid only.
• Community clinics provide non-emergency services.

12. Kansas

• Emergency Medicaid only.
• Routine care through clinics.

13. Kentucky

• Emergency Medicaid only.
• Relies on clinics and nonprofits for primary care.

14. Louisiana

• Emergency Medicaid only.
• Routine care through community clinics.

15. Maryland

• Emergency Medicaid only.
• Legislation advancing to allow undocumented individuals to purchase insurance in 2026.

16. Michigan

• Emergency Medicaid only.
• FQHCs offer full primary care on sliding scale.

17. Mississippi

• Emergency Medicaid only.
• Community clinics cover most primary care needs.

18. Missouri

• Emergency Medicaid only.
• Community clinics available.

19. Montana

• Emergency Medicaid only.
• Community clinics available.

20. Nebraska

• Emergency Medicaid only.
• Community clinics available.

21. Nevada

• No Medicaid for undocumented children.
• SB 234 (Ruby’s Law) proposes outpatient coverage expansion (not passed yet).

22. New Hampshire

• Emergency care under EMTALA.
• School-based services available.
• Prescriptions often require legal ID.

23. New Mexico

• Emergency Medicaid only.
• FQHCs provide full clinics.

24. North Carolina

• No full coverage; emergency Medicaid only.

25. North Dakota

• Emergency care only.
• Marketplace access blocked for many Dreamers.

26. Ohio

• No Medicaid except emergency care.
• Some prenatal and dental care via clinics.

27. Oklahoma

• Emergency Medicaid only.
• Nonprofits and clinics for routine care.

28. Pennsylvania

• Emergency Medicaid only.
• WIC and school-based services available regardless of status.

29. South Carolina

• Emergency Medicaid only.

30. South Dakota

• Emergency Medicaid only.

31. Tennessee

• Emergency Medicaid only.

32. Texas

• Emergency Medicaid if income/residency requirements are met.
• CHIP-Perinatal covers pregnancy + 2 months postpartum.

33. Virginia

• Emergency Medicaid only.
• FAMIS Prenatal available to all pregnant individuals.

34. West Virginia

• Emergency Medicaid only.

35. Wisconsin

• Emergency Medicaid only.
• BadgerCare Prenatal covers pregnancy care for undocumented individuals.

36. Wyoming

• Emergency Medicaid only.