Via North Carolina Governor Josh Stein (D) this morning:

As of today, 650,000 North Carolinians have access to affordable health care thanks to Medicaid expansion! When leaders come together across political differences, we can make people’s lives better.

Now we must come together to defend this bipartisan victory from proposed federal cuts. People’s health and our health care system depend on it.

The official press release:

Governor Josh Stein announced that as of today, 650,000 newly eligible North Carolinians have gained access to affordable health care through Medicaid expansion, including veterans and workers in child care, construction, hospitality, home health care and other industries essential to the state.

I thought I had finally wrapped up my ambitious Congressional district-by-district healthcare program enrollment pie chart project (for all 435 districts...actually 436 w/DC included). I knew I'd still have to update the numbers every few months, but at least the dust had finally settled on the layout and what info I'd include on each graphic.

Originally posted 10/18/20.

RE-UPPED 1/31/22: It was announced this morning that John James, who lost not one but two statewide U.S. Senate races back to back in 2018 & 2020, is taking a third swing at elected office in 2022. This time he's setting his sights lower, going for Michigan's new open 10th Congressional district, which is still competitive but which definitely has more of a GOP-tilt to it. In light of that, I decided to dust off this post again.

RE-UPPED 4/9/25: It was announced yesterday that John James, who finally made it into elected office as a U.S. Representative in Michigan's 10th Congressional District (only to essentially abandon his district the moment he got re-elected in 2024) is now running for statewide office again, this time for Governor. In light of that, I decided to dust off this post again (again).

A month ago, incumbent Democratic Senator Gary Peters of Michigan and his Republican challenger John James were both interviewed as part of a Detroit Regional Chamber series on several issues, including healthcare policy and the ACA.

via Access Health CT:

Connecticut Residents Can Now Request Information About Health Insurance Options While Filing Taxes

HARTFORD, Conn. (April 7, 2025) — Access Health CT (AHCT) and the Connecticut Department of Revenue Services (DRS) today announced that Connecticut residents can now check a box on their state income tax return to get information about health coverage options. In 2023, the state passed Public Act 23-204 which provided the authority for this partnership.

AHCT is the official health insurance marketplace for Connecticut and the only place to get financial help to help offset the cost of health coverage. Eligible customers can enroll in Qualified Health Plans (QHPs) or other low- or no-cost health coverage including the Covered CT Program which provides health and dental coverage at no cost to the customer, or HUSKY Health, Connecticut’s Medicaid Program and Children’s Health Insurance Program (CHIP).  

I realize the Musk/Trump Administration is attempting to turn the United States into a fascist regime while simultaneously burning the federal government to the ground and pushing the economy into a global recession, but hey, you gotta take positive news where you can find it.

With that in mind, via Connect for Health Colorado:

‘Biggest Enrollment Period Ever’: Connect for Health Colorado Releases its Annual Report on Open Enrollment 

Denver, Colo.– Connect for Health Colorado, the state’s official health insurance marketplace, released its annual open enrollment report today. This year’s By The Numbers report includes new data and information about the record-breaking open enrollment period for plan year 2025, which enrolled 296,449 people in health insurance through Connect for Health Colorado and Colorado Connect, Connect for Health Colorado’s public benefit corporation. 

Over the past couple of months I've compiled a master spreadsheet breaking out enrollment in ACA plans (Qualified Health Plans & Basic Health Plans), Medicaid/CHIP coverage (both traditional & via ACA expansion) and Medicare (both Fee-for-Services & Advantage) at the Congressional District levels.

With the pending dire threat to several of these programs (primarily Medicaid & the ACA) from the House Republican Budget Proposal which recently passed, I'm going a step further and am generating pie charts which visualize just how much of every Congressional District's total population is at risk of losing healthcare coverage.

USE THE DROP-DOWN MENU ABOVE TO FIND YOUR STATE & DISTRICT.

I wrote about this issue a few days ago as part of an overview of the various Biden-era ACA policies which the Musk/Trump regime is reversing:

• CMS proposes a policy that would add sex-trait modification to the list of items and services that may not be covered as essential health benefits beginning in plan year 2026.

In other words, they're throwing transgender folks under the bus, which is hardly surprising but is still appalling; I'll have a separate writeup about this soon. It doesn't mean that insurance carriers can't cover gender-affirming services, but it does mean those services can't have APTC subsidies applied towards them if they're included in the policy.

As promised, I'm posting a separate entry focusing on it. Fortunately, Lil Kalish has already done a much deeper dive over at Huffington Post which saves me most of the trouble:

After a concerning 2-month delay, the Centers for Medicare & Medicaid Services (CMS) has finally published an update to the official Medicaid/CHIP enrollment data:

November 2024 Key Findings

Medicaid and CHIP Enrollment

• In November 2024, 79.0 million individuals were enrolled in Medicaid and CHIP.
  • 71.8 million individuals were enrolled in Medicaid, and 7.3 million individuals were enrolled in CHIP.
  • 41.5 million adults were enrolled in Medicaid, and there were 37.5 million Medicaid child and CHIP enrollees.

Medicaid and CHIP Applications Received

The Centers for Medicare & Medicaid Services just published updated enrollment data for Medicare, adding both December 2024 to the data archive.

This follows prior updates of October & November 2024 Medicare enrollment data, which suggests that the Musk/Trump Admin will continue to post updated enrollment data, at least for the time being.

Whether the data posted since January 20, 2025 is accurate or not, I can't say for certain, but at least they're updating it...and I don't see anything in the December update which leaps out at me as being an obvious red flag.

As of this writing, the same can't be said for the monthly Medicaid/CHIP enrollment reports, which are usually updated the same day as the Medicare reports, but which have remained stuck on October 2024 since before Trump was inaugurated in January.

In any event, according to the latest report, as of December 2024:

This was actually announced a few weeks ago, but I was knee-deep in my Congressional District-level Enrollment Breakout Pie Chart project so I didn't get around to posting about it until now.

Via the Musk/Trump Admin's Centers for Medicare & Medicaid Services (CMS):

Today, the Centers for Medicare & Medicaid Services (CMS) released a proposed rule to address the troubling amount of improper enrollments impacting Affordable Care Act (ACA) Health Insurance Marketplaces across the country. CMS’ 2025 Marketplace Integrity and Affordability Proposed Rule includes proposals that take critical and necessary steps to protect people from being enrolled in Marketplace coverage without their knowledge or consent, promote stable and affordable health insurance markets, and ensure taxpayer dollars fund financial assistance only for the people the ACA set out to support.