Medicaid

Head's up: Over half the MAGA Murder Bill's healthcare carnage will kick in BEFORE the midterms.

Mon, 07/07/2025 - 7:22pm

Ever since the MAGA Murder Bill (officially H.R. 1, the so-called "One Big Beautiful Bill Act") was passed by Republicans in the U.S. Senate & House and signed into law by Donald Trump a few days ago, I've seen a growing conventional wisdom taking hold on social media: People keep claiming that either all, "nearly all" or at least "most of" the budget cuts & other gutting of various programs and departments won't actually kick in until after the November 2026 midterms.

Now, don't get me wrong--most of those making these claims are well-intentioned; they're saying this cynically, to underscore how disingenuous Congressional Republicans are by back-loading the pain until the midterms are safely in their rearview mirrors. And, to be fair, much of the damage won't being until well after next November.

Over at The New Republic, Greg Sargent has taken this thinking one step further, noting that by delaying so much of the ugliness of the new law until 2027 or beyond...

MAGA Murder Bill

Medicaid

Medicaid Expansion

Work Requirements

Undocumented Immigrants

Documented Immigrants

District of Columbia: Medicaid up to 215% FPL is dead. Long live BHPs up to 200% FPL. *(important update)

Thu, 10/09/2025 - 10:45am

For many years, the District of Columbia has had among the most generous Medicaid income eligibility thresholds in the country, with children and pregnant women in households earning up to 324% of the Federal Poverty Level (FPL) being eligible as well as parents earning up to 216% FPL and childless adults earning up to 210% FPL*. As a result, nearly 37% of DC's total population is enrolled in Medicaid.

District of Columbia

Medicaid

Basic Health Plan

Trump Regime posts claimed June 2025 Medicaid/CHIP enrollment report: 77.7M, down 1.7M since December

Mon, 10/06/2025 - 3:21pm

The Trump Regime has published an update to the official Medicaid/CHIP enrollment data:

June 2025 Key Findings

Medicaid and CHIP Enrollment

In June 2025, 77.7 million individuals were enrolled in Medicaid and CHIP.

70.5 million individuals were enrolled in Medicaid, and 7.2 million individuals were enrolled in CHIP.

40.7 million adults were enrolled in Medicaid, and there were 37.0 million Medicaid child and CHIP enrollees.

Medicaid and CHIP Applications Received

Trump Regime posts claimed May 2025 Medicaid/CHIP enrollment report: 78.1M, down ~287K from April

Wed, 09/03/2025 - 1:57pm

The Trump Regime has published an update to the official Medicaid/CHIP enrollment data:

April 2025 Key Findings - Medicaid and CHIP Enrollment

In May 2025, 78.1 million individuals were enrolled in Medicaid and CHIP.

70.8 million individuals were enrolled in Medicaid, and 7.3 million individuals were enrolled in CHIP.

40.9 million adults were enrolled in Medicaid, and there were 37.2 million Medicaid child and CHIP enrollees.

Medicaid and CHIP Applications Received

CMS posts Medicaid expansion enrollment as of December 2024: Still over 20.7 million

Sat, 08/16/2025 - 4:57pm

The Centers for Medicare & Medicaid Services (CMS) has posted an official update to the enrollment data for ACA Medicaid expansion through December 2024.

According to the new report, total enrollment from September through December actually increased by just a hair (5,377) and still remained at over 20.7 million nationally, so it doesn't look like the Trump Admin has started cooking these particular books, at least not yet.

I've been able to cobble together more recent ACA expansion enrollment for about half of the 40 states (+DC) which participate in the program:

Medicaid

Medicaid Expansion

CMS

ACA Medicaid expansion enrollment still over 20 million (updated)

Wed, 07/30/2025 - 12:10pm

Originally posted 7/17/25

Now that I've finally completed overhauling & updating my House District Healthcare Enrollment Pie Chart project with the latest data, I wanted to address a rather frustrating elephant in the room.

For most of the healthcare programs involved, the enrollment data is now reasonably up to date:

ACA Qualified Health Plan (QHP) enrollment is as of February 2025 via official Centers for Medicare & Medicaid Services (CMS) public use files.
ACA Basic Health Plan (BHP) enrollment is as of April 2025 (NY), May 2025 (OR) or July 2025 (MN) via each state's health department monthly reports.

Medicaid

Medicaid Expansion

CMS

Trump Regime posts claimed April 2025 Medicaid/CHIP enrollment report: 78.4M, down ~700K from March

Tue, 07/29/2025 - 2:29pm

The Trump Regime has published an update to the official Medicaid/CHIP enrollment data:

April 2025 Key Findings - Medicaid and CHIP Enrollment

In April 2025, 78.4 million individuals were enrolled in Medicaid and CHIP.

71.1 million individuals were enrolled in Medicaid, and 7.3 million individuals were enrolled in CHIP.

41.1 million adults were enrolled in Medicaid, and there were 37.3 million Medicaid child and CHIP enrollees.

Medicaid and CHIP Applications Received

House District Enrollment: Wisconsin (updated)

Wed, 07/16/2025 - 8:20pm

Originally posted 3/18/25

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.