
#15 California. With 38 percent of its children already on Medicaid (and 11 percent with no insurance at all) California could be a big winner with the infusion of federal aid. And the state, which is in perennial fiscal trouble, can always use the money. (Photo by Ezra Shaw/Getty Images)

#14 Louisiana – Gov. Bobby Jindal says his state won’t take the Medicaid money, and with 43 percent of the state’s kids already receiving Medicaid – a heavy load for the state to bear on its own – you can almost see why he’s reluctant to add more to the rolls. But with nearly one in ten Louisiana kids uninsured, it seems Jindal would be leaving a lot of money on the table if he refused federal assistance, especially since his state also ranks near the bottom in the U.S. for child poverty. (Photo by Skip Bolen/Getty Images)

#13 Alabama – Nearly four in ten Alabama children are already on Medicaid and 9 percent have no insurance at all. (Photo by Mario Tama/Getty Images)

#12 New York – New York matches Louisiana for the percentage of kids on Medicaid (39 percent) though it has a smaller percentage uninsured (8 percent.) Still, with just half of New Yorker tikes receiving insurance from a parent’s employer, a little help from Uncle Sam couldn’t hurt. (Photo by John Moore/Getty Images)

#11 Arkansas – Arkansas has a significant poverty problem. Just 4 in ten children have private health insurance, while 10 percent are uninsured and 45 percent are currently on Medicaid (the third highest percentage in the U.S.) (Photo by Scott Olson/Getty Images)

#10 Georgia – Georgia is on the lower end of the spectrum when it comes to the percentage of its kids on Medicaid (31 percent). Another 12 percent of children have no insurance at all. (Photo by Al Messerschmidt/Getty Images)

#9 Alaska – The home of Sarah Palin actually has lots of government subsidies going into the people’s hands, in the form of oil dividend checks. Still, Alaska has a high 12 percent of its children uninsured, and a relatively small percentage on Medicaid: 28 percent. (Photo by Mark Wilson/Getty Images)

#8 Mississippi – Mississippi has the highest percentage of its children on Medicaid than any other state (47 percent), along with one of the highest rates of uninsured (13 percent). (Photo by Bill Colgin/Getty Images)

#7 Oklahoma – A high 39 percent of Oklahoma kids are on Medicaid, and 13 percent lack health insurance – one of the highest percentages in the U.S. (Photo by Ronald Martinez/Getty Images)

#6 South Carolina – South Carolina also has 13 percent of its population uninsured, though just 30 percent are currently on Medicaid. (Photo by Streeter Lecka/Getty Images)

#5 New Mexico – New Mexico consistently ranks as one of the poorest states. Currently just 37 percent of children are insured through a parent’s employer, versus 45 percent who get their insurance through Medicaid, and a high 14 percent who have no insurance at all. (Photo by Chip Somodevilla/Getty Images)

#4 Arizona – The home of the “show me your papers” immigration law has one of the highest rates of the uninsured – 15 percent of its children, with 36 percent currently on Medicaid. (Photo by Ethan Miller/Getty Images)

#3 Florida – Florida Gov. Rick Scott has said his state won’t take the Medicaid funds, but Florida has an even higher rate of lack of insurance than Arizona: 16 percent of sunshine state kids, and 32 percent on Medicaid. (Photo by Joe Raedle/Getty Images)

#2 Nevada – Nevada ties with Florida for the second highest rate of children lacking health insurance in the U.S. – 16 percent. And with just 22 percent of Nevada kids currently receiving Medicaid, federal help could begin to close the gap. (Photo by Charley Gallay/Getty Images)

#1 Texas – Texas is the winner — or loser – when it comes to the rankings of states with uninsured kids. According to Kaiser, 17 percent of Texas kids aren’t covered at all, though 37 percent receive Medicaid. And just four in 10 are covered by a parent’s employer. (Photo by Tom Pennington/Getty Images)
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The Supreme Court has declared that states can opt out of the provision in the Affordable Care Act that expands Medicaid coverage (at the federal government’s expense for the first three years, and with states paying a small percentage of the cost after that) to people under age 65 who reach up to 133 percent of the federal poverty level. But which states stand to lose the most if their governors say “thanks, but no thanks,” to the Medicaid funds? We ranked them based on the Kaiser Family Foundation data on the states with the highest rates of children currently being covered by Medicaid the percentage have no health insurance (via their parents or the government) at all.
