Health Reform in VA and WV

September 28, 2016

A Tale of Two States: Virginia, West Virginia, and Health Reform. Virginia and West Virginia share a common history and a long border, but the two states have taken different paths with respect to the Affordable Care Act (ACA). West Virginia elected to expand Medicaid coverage to low income adults in 2014, and as a result experienced a 58 percent decrease between 2013 and 2015 in the number of uninsured adults ages 18 to 64 (Figure 1). Virginia elected not to expand Medicaid in 2014, and experienced a smaller decrease (21 percent) in the number of uninsured during the same time period.