Medicaid

As of March 2025, around 72,000 Nebraska residents were enrolled in Medicaid via the ACA's expansion of the program.

Last summer, after Congressional Republicans passed their Big Ugly Bill, I warned people against assuming that the gutting of Medicaid wouldn't hit until after the 2026 midterms:

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...

Republicans know how unpopular all this will be. So they’ve structured the bill so the tax cuts land immediately, while many of the Medicaid cuts get going in 2027 and 2028. That’s meant to spare them in the midterms.

The Centers for Medicare & Medicaid Services (CMS) has posted an official update to the enrollment data for ACA Medicaid expansion through March 2025.

According to the new report, total enrollment from December 2024 through March 2025 only dropped slightly (just over 30,000 people, or just 0.14%), and 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; since March, expansion enrollment has dropped in some states but is actually up in some others. It remains remarkably stable so far, although this is going to change radically with the draconian provisions of the GOP's Big Ugly Bill starting to kick in soon.

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

August 2025 Key Findings

Medicaid and CHIP Enrollment

• In August 2025, 77.3 million individuals were enrolled in Medicaid and CHIP.
• 70.1 million individuals were enrolled in Medicaid, and 7.2 million individuals were enrolled in CHIP.
• 40.4 million adults were enrolled in Medicaid, and there were 36.9 million Medicaid child and CHIP enrollees.

Medicaid and CHIP Applications Received

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

July 2025 Key Findings

Medicaid and CHIP Enrollment

• In July 2025, 77.6 million individuals were enrolled in Medicaid and CHIP.
• 70.4 million individuals were enrolled in Medicaid, and 7.2 million individuals were enrolled in CHIP.
• 40.6 million adults were enrolled in Medicaid, and there were 36.9 million Medicaid child and CHIP enrollees.

Medicaid and CHIP Applications Received

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.

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

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

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:

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.

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