Story perspectives

Medicaid Enrollment Drops to 76 Million Amid Policy Changes

4/15/2026

Summary

Story summary

During the COVID-19 pandemic, Medicaid enrollment rose to over 94 million due to continuous coverage policies.
From April 2023 to mid-2025, more than 25 million people were disenrolled in the "Great Unwinding," with 69% of losses from procedural reasons.
As of December 2025, Medicaid enrollment stabilized at around 76 million.
Future enrollment will be shaped by state policies, including more frequent eligibility checks and work requirements beginning in 2027.

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Story summary

During the COVID-19 pandemic, Medicaid enrollment rose to over 94 million due to continuous coverage policies.
From April 2023 to mid-2025, more than 25 million people were disenrolled in the "Great Unwinding," with 69% of losses from procedural reasons.
As of December 2025, Medicaid enrollment stabilized at around 76 million.
Future enrollment will be shaped by state policies, including more frequent eligibility checks and work requirements beginning in 2027.