More than 64 million individuals were enrolled in Medicaid as of November 2019, but Congress is debating changes in the program that provides federally paid health care for low-income persons. States that did not expand Medicaid coverage under the Affordable Care Act and spent the least on the program are:
1. Georgia
2. Wyoming
3. South Dakota
4. Alabama
5. Idaho
Source: Wallethub, the online personal finance service, based its ratings on 12 metrics ranging from total Medicaid spending per low-income population to adult care quality and children Medicaid eligibility level. Tennessee ranked as the 18th lowest state for Medicaid coverage. The top states for coverage were, in order, Massachusetts, New York and Vermont.