Medicaid / CHIP Enrollment (Monthly)
76.8M — down from 79M; unwinding pushing people off rolls, not into coverage
What is the current Medicaid / CHIP Enrollment (Monthly)?
76.8 million Americans are enrolled in Medicaid, the government health insurance program for low-income families and individuals. Medicaid enrollment tracks how many Americans cannot afford private health coverage and serves as a direct measure of economic vulnerability. Enrollment surged during the pandemic and has since declined as continuous enrollment protections expired. Source: CMS Medicaid Enrollment Data.
76.8 million enrolled in Medicaid/CHIP — still 8% above pre-pandemic baseline
Peaked at 94M during continuous enrollment. 15M+ disenrolled since Apr 2023 unwinding.
Explore Further
How has Medicaid / CHIP Enrollment (Monthly) changed over time?
| Period | Value | YoY Change |
|---|---|---|
| Sep 2025 | 76,800,000 | — |
| Jun 2024 | 79,000,000 | — |
| Apr 2023 | 94,000,000 | — |
| Jul 2022 | 90,000,000 | — |
| Dec 2021 | 86,700,000 | +6700000.00 |
| Dec 2020 | 80,000,000 | — |
| Oct 2019 | 71,400,000 | — |
Frequently Asked Questions
How many Americans are on Medicaid?
76.8 million Americans are enrolled in Medicaid, the joint federal-state health insurance program for low-income individuals and families. This makes Medicaid the largest health insurance program in the country by enrollment.
Why did Medicaid enrollment change recently?
Enrollment surged during the pandemic due to continuous enrollment protections that prevented states from removing beneficiaries. When those protections expired, states began 'unwinding' their rolls, resulting in millions losing coverage — some because they no longer qualified, others due to administrative processing issues.
Where does Medicaid enrollment data come from?
The Centers for Medicare & Medicaid Services (CMS) publishes monthly Medicaid enrollment data by state. The American Distress Index tracks enrollment changes as a measure of economic vulnerability and access to healthcare.
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