Kansas has not expanded Medicaid, so the federal work requirement that takes effect January 1, 2027 does not apply to a state expansion population. This model counts no Kansas adults as subject.
The requirement matters for Kansas in a different way: if the state expanded Medicaid later, its expansion adults would report from day one. The American Community Survey counts about 306,835 uninsured Kansas adults with household income at or below 138% of the poverty line, the population an expansion would cover and the requirement would then reach.
Key figures
| Measure | Kansas |
|---|---|
| Expansion state | No |
| Subject to the requirement via waiver | No |
| Expansion pool (adults 19 to 64) | 0 |
| Adults subject, strict definition | 0 |
| Adults subject, permissive definition | 0 |
| Share of expansion pool subject | 0.0% |
| Projected coverage loss by 2034 | 0 |
| Hardship exception status | Non expansion |
| Early implementer | No |
| Ex parte capability score (0 to 100) | n/a |
Counties in Kansas: uninsured adults below 138% of poverty
Johnson County (66,436), Sedgwick County (55,114), and Shawnee County (18,011) hold the most uninsured low-income adults in Kansas.
| County | Uninsured adults at or below 138% FPL | Poverty rate | Working-age population |
|---|---|---|---|
| Johnson County | 66,436 | 5.0% | 369,088 |
| Sedgwick County | 55,114 | 14.0% | 306,190 |
| Shawnee County | 18,011 | 13.0% | 100,060 |
| Wyandotte County | 17,496 | 17.0% | 97,201 |
| Douglas County | 14,199 | 16.0% | 78,884 |
| Riley County | 9,068 | 23.0% | 50,378 |
| Leavenworth County | 8,853 | 10.0% | 49,186 |
| Butler County | 7,096 | 8.0% | 39,422 |
| Reno County | 6,228 | 12.0% | 34,598 |
| Saline County | 5,510 | 12.0% | 30,614 |
| Crawford County | 4,195 | 21.0% | 23,308 |
| Finney County | 3,874 | 13.0% | 21,524 |
| Geary County | 3,772 | 19.0% | 20,954 |
| Miami County | 3,598 | 7.0% | 19,988 |
| Ford County | 3,492 | 12.0% | 19,402 |
| Lyon County | 3,464 | 16.0% | 19,244 |
| Cowley County | 3,438 | 14.0% | 19,102 |
| Harvey County | 3,250 | 10.0% | 18,055 |
| Ellis County | 3,159 | 15.0% | 17,552 |
| McPherson County | 3,052 | 11.0% | 16,955 |
| Montgomery County | 3,024 | 17.0% | 16,798 |
| Franklin County | 2,703 | 8.0% | 15,014 |
| Pottawatomie County | 2,580 | 7.0% | 14,336 |
| Barton County | 2,444 | 14.0% | 13,580 |
| Sumner County | 2,226 | 12.0% | 12,366 |
| Seward County | 2,219 | 14.0% | 12,330 |
| Labette County | 1,942 | 15.0% | 10,788 |
| Cherokee County | 1,928 | 14.0% | 10,710 |
| Jefferson County | 1,886 | 6.0% | 10,478 |
| Dickinson County | 1,818 | 9.0% | 10,100 |
| Atchison County | 1,651 | 14.0% | 9,173 |
| Osage County | 1,561 | 11.0% | 8,674 |
| Neosho County | 1,512 | 15.0% | 8,398 |
| Bourbon County | 1,393 | 13.0% | 7,739 |
| Jackson County | 1,302 | 8.0% | 7,234 |
| Allen County | 1,231 | 15.0% | 6,839 |
| Marion County | 1,129 | 9.0% | 6,272 |
| Linn County | 953 | 11.0% | 5,293 |
| Nemaha County | 945 | 9.0% | 5,252 |
| Marshall County | 932 | 11.0% | 5,178 |
| Rice County | 930 | 10.0% | 5,166 |
| Brown County | 870 | 14.0% | 4,835 |
| Cloud County | 863 | 12.0% | 4,794 |
| Pratt County | 856 | 12.0% | 4,755 |
| Coffey County | 825 | 11.0% | 4,582 |
| Wilson County | 798 | 16.0% | 4,431 |
| Thomas County | 761 | 7.0% | 4,226 |
| Clay County | 755 | 11.0% | 4,196 |
| Doniphan County | 753 | 11.0% | 4,186 |
| Anderson County | 742 | 13.0% | 4,125 |
| Kingman County | 735 | 8.0% | 4,081 |
| Grant County | 706 | 5.0% | 3,924 |
| Wabaunsee County | 684 | 6.0% | 3,799 |
| Ellsworth County | 670 | 9.0% | 3,722 |
| Pawnee County | 665 | 12.0% | 3,692 |
| Russell County | 608 | 17.0% | 3,379 |
| Ottawa County | 574 | 10.0% | 3,187 |
| Norton County | 574 | 9.0% | 3,190 |
| Greenwood County | 553 | 15.0% | 3,070 |
| Sherman County | 550 | 10.0% | 3,058 |
| Gray County | 548 | 4.0% | 3,044 |
| Mitchell County | 545 | 15.0% | 3,028 |
| Morris County | 511 | 11.0% | 2,840 |
| Washington County | 508 | 10.0% | 2,822 |
| Harper County | 498 | 16.0% | 2,769 |
| Scott County | 486 | 8.0% | 2,700 |
| Stevens County | 482 | 16.0% | 2,678 |
| Rooks County | 470 | 5.0% | 2,612 |
| Phillips County | 445 | 16.0% | 2,472 |
| Republic County | 393 | 10.0% | 2,184 |
| Meade County | 383 | 7.0% | 2,128 |
| Barber County | 378 | 20.0% | 2,100 |
| Stafford County | 370 | 11.0% | 2,053 |
| Haskell County | 367 | 9.0% | 2,038 |
| Kearny County | 361 | 16.0% | 2,005 |
| Chautauqua County | 320 | 18.0% | 1,776 |
| Smith County | 315 | 7.0% | 1,750 |
| Osborne County | 311 | 13.0% | 1,730 |
| Woodson County | 294 | 13.0% | 1,632 |
| Rush County | 289 | 13.0% | 1,604 |
| Lincoln County | 276 | 13.0% | 1,534 |
| Edwards County | 263 | 14.0% | 1,462 |
| Logan County | 263 | 10.0% | 1,462 |
| Morton County | 261 | 13.0% | 1,449 |
| Ness County | 259 | 11.0% | 1,439 |
| Trego County | 258 | 7.0% | 1,432 |
| Gove County | 257 | 6.0% | 1,430 |
| Jewell County | 246 | 19.0% | 1,368 |
| Chase County | 246 | 9.0% | 1,368 |
| Decatur County | 241 | 12.0% | 1,339 |
| Hamilton County | 236 | 8.0% | 1,313 |
| Cheyenne County | 236 | 15.0% | 1,310 |
| Kiowa County | 228 | 5.0% | 1,266 |
| Stanton County | 225 | 13.0% | 1,248 |
| Rawlins County | 223 | 11.0% | 1,238 |
| Sheridan County | 222 | 8.0% | 1,234 |
| Graham County | 219 | 10.0% | 1,218 |
| Elk County | 209 | 15.0% | 1,162 |
| Clark County | 182 | 12.0% | 1,010 |
| Wichita County | 171 | 15.0% | 948 |
| Comanche County | 156 | 9.0% | 868 |
| Hodgeman County | 154 | 9.0% | 854 |
| Lane County | 129 | 9.0% | 718 |
| Wallace County | 128 | 16.0% | 710 |
| Greeley County | 117 | 8.0% | 649 |
State brief and methodology
Estimates, not counts. The model rakes to CBO's national subject total and allocates by ACS microdata; state agencies hold the administrative data that would replace these figures.