There were over 25 million Medicaid disenrollments in 2023, but national enrollment remained significantly above pre-pandemic levels at over 56 million, with notable state-level variations and near-recovery of child enrollment.
This report provides an early 2025 snapshot of state Medicaid and CHIP policies as they return to normal operations post‑pandemic, focusing on eligibility, enrollment, and renewal processes.
Post-Medicaid continuous enrollment's end in March 2023, states faced renewal challenges through August 2024, seeing improved auto-renewals but persistent procedural disenrollments despite outreach and intervention.
There were over 25 million Medicaid disenrollments in 2023, but national enrollment remained significantly above pre-pandemic levels at over 56 million, with notable state-level variations and near-recovery of child enrollment.
This issue brief examines how H.R. 1’s enactment delays implementation of two key Medicaid eligibility rules—one for Medicare Savings Programs (MSPs) and one for general Medicaid/CHIP enrollment and renewal—and the effects of that delay.
This event convened policy experts and state leaders to explore how states can operationalize new Medicaid work reporting mandates—covering technical, legal, and implementation challenges.
