Nevada: Medicaid expansion enrollment up 40% since COVID struck; total Medicaid up 26%


I've once again relaunched my project from last fall to track Medicaid enrollment (both standard and expansion alike) on a monthly basis for every state dating back to the ACA being signed into law.

For the various enrollment data, I'm using data from's Medicaid Enrollment Data Collected Through MBES reports. Unfortunately, they've only published enrollment data through December 2020. In some states I've been able to get more recent enrollment data from state websites and other sources.

Today I'm presenting Nevada.

For enrollment data from January 2021 on, I'm relying on adjusted estimates based on raw data from the Nevada Dept. of Health & Human Services.

Nevada's total Medicaid enrollment (including ACA expansion) held steady at around 600,000 residents throughout 2016 - 2019...but once the COVID pandemic struck, it took off sharply, with traditional enrollment increasing by over 18% and ACA expansion jumping nearly 40%. Overall enrollment is up by around 26% since last February.

Nevada has 3,104,614 residents according to the 2020 U.S. Census. As of April 2021:

  • around 731,000 were enrolled in Medicaid overall, or around 23% of the population
  • around 440,000 were enrolled in non-ACA Medicaid
  • around 291,000 were enrolled in ACA Medicaid expansion.
  • Add in the ~77,000 subsidized ACA exchange enrollees and that's around 368,000 Nevadans who would lose healthcare coverage if the Supreme Court strikes down the Affordable Care Act, or 11.9% of the state population.