North Dakota: Medicaid expansion enrollment up 18% since COVID struck; total Medicaid up 21%

North Dakota

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 most states I've been able to get more recent enrollment data from state websites and other sources. Unfortunately, I've been unable to do so for North Dakota, so the data below is still six months out of date.

Total Medicaid enrollment in North Dakota stayed fairly steady from 2016 - early 2020...but after the COVID pandemic hit, it jumped significantly, with non-ACA enrollment increasing 21.4%, ACA expansion going up 18.3% and total enrollment increasing by 20.7% overall.

North Dakota has 779,094 residents according to the 2020 U.S. Census. As of December 2021:

  • around 108,000 were enrolled in Medicaid overall, or nearly 14% of the population
  • around 84,000 were enrolled in non-ACA Medicaid
  • around 24,000 were enrolled in ACA Medicaid expansion

Add in the ~21,000 subsidized ACA exchange enrollees and that's around 45,000 North Dakotans who would lose healthcare coverage if the Supreme Court strikes down the Affordable Care Act, or 5.8% of the state population.