With the Biden administration reversing work requirements for Medicaid coverage and the COVID-19 pandemic highlighting the importance of good healthcare, the personal finance website WalletHub today released its report on 2021’s States with the Most & Least Medicaid Coverage, as well as accompanying videos.

In order to identify which states rely most and least on Medicaid, WalletHub compared the 50 states across 12 metrics, ranging from total Medicaid spending per low-income population to adult care quality to the eligibility level of children.

States with the Most Medicaid Coverage States with the Least Medicaid Coverage
1. Massachusetts 41. Idaho
2. Rhode Island 42. South Carolina
3. Vermont 43. Nebraska
4. Pennsylvania 44. Alabama
5. Connecticut 45. Mississippi
6. Washington 46. South Dakota
7. California 47. Wyoming
8. New York 48. Tennessee
9. Oregon 49. Oklahoma
10. Louisiana 50. Georgia

Key Stats

  • Massachusetts has the highest total Medicaid spending per low-income population, $13,416, which is 3.9 times higher than in Georgia, the state with the lowest at $3,483.
  • Rhode Island has the highest total Medicaid enrollment per low-income population, 1.24, which is 3.4 times higher than in Wyoming, the state with the lowest at 0.37.
  • Vermont has the highest share of individuals diagnosed with major depression who were treated with and remained on antidepressant medication for 12 weeks, 73.80 percent, which is 1.9 times higher than in Mississippi, the state with the lowest at 39.20 percent.
  • Missouri has the highest total Medicaid spending as a share of the total state budget, 39.02 percent, which is 2.8 times higher than in Wyoming, the state with the lowest at 13.83 percent.

To view the full report and your state’s rank, please visit: