Medicaid / CHIP Enrollment
72.9 million enrolled in July 2026, down from 77.6 million a year earlier
Where the Medicaid / CHIP Enrollment stands now
The Medicaid / CHIP Enrollment was 72.9 million in July 2026. Since 2017 it has ranged from 71 million in December 2019 to 94.4 million in April 2023. It has been lower than a year earlier for three straight years.
What it means for households: Household Financial Health Statistics
How the Medicaid / CHIP Enrollment has moved since 2017
Medicaid / CHIP Enrollment: down since 2023, near the lowest in data back to 2017
Centers for Medicare & Medicaid Services, monthly Medicaid and CHIP enrollment: 72.9 million in July 2026, down from 77.6 million a year earlier. Monthly, 2017–2026.
What the Medicaid / CHIP Enrollment measures
Medicaid / CHIP Enrollment by month, 2017 to 2026
| Month | Count | Change from a year earlier |
|---|---|---|
| Jul 2026 | 72.9M | −4.7M |
| Jun 2026 | 73.2M | −4.6M |
| May 2026 | 73.5M | −4.6M |
| Apr 2026 | 73.9M | −4.5M |
| Mar 2026 | 74.3M | −4.3M |
| Feb 2026 | 74.9M | −3.8M |
| Jan 2026 | 75.3M | −3.5M |
| Dec 2025 | 75.7M | −3.2M |
| Nov 2025 | 76M | −3M |
| Oct 2025 | 76.8M | −2.6M |
| Sep 2025 | 77M | −2.5M |
| Aug 2025 | 77.3M | −2.3M |
| Jul 2025 | 77.6M | −2.1M |
| Jun 2025 | 77.8M | −2.3M |
| May 2025 | 78.1M | −2.9M |
| Apr 2025 | 78.4M | −3.5M |
| Mar 2025 | 78.6M | −4.3M |
| Feb 2025 | 78.7M | −4.9M |
| Jan 2025 | 78.8M | −5.5M |
| Dec 2024 | 78.9M | −6.5M |
| Nov 2024 | 79M | −7.2M |
| Oct 2024 | 79.4M | −8.3M |
| Sep 2024 | 79.5M | −9.3M |
| Aug 2024 | 79.6M | −10.8M |
| Jul 2024 | 79.7M | −12.2M |
| Jun 2024 | 80.1M | −12.9M |
| May 2024 | 81M | −13.1M |
| Apr 2024 | 81.9M | −12.5M |
| Mar 2024 | 82.9M | −11.2M |
| Feb 2024 | 83.6M | −10M |
| Jan 2024 | 84.3M | −8.8M |
| Dec 2023 | 85.4M | −7.2M |
| Nov 2023 | 86.2M | −5.8M |
| Oct 2023 | 87.7M | −3.9M |
| Sep 2023 | 88.8M | −2.3M |
| Aug 2023 | 90.4M | −0.3M |
| Jul 2023 | 91.9M | +1.8M |
| Jun 2023 | 93M | +3.6M |
| May 2023 | 94.1M | +5.2M |
| Apr 2023 | 94.4M | +6M |
| Mar 2023 | 94.1M | +6.1M |
| Feb 2023 | 93.6M | +6.1M |
| Jan 2023 | 93.1M | +6M |
| Dec 2022 | 92.6M | +6.1M |
| Nov 2022 | 92M | +6.1M |
| Oct 2022 | 91.6M | +6.1M |
| Sep 2022 | 91.1M | +6.1M |
| Aug 2022 | 90.7M | +6.3M |
| Jul 2022 | 90.1M | +6.3M |
| Jun 2022 | 89.4M | +6.1M |
| May 2022 | 88.9M | +6.1M |
| Apr 2022 | 88.4M | +6.1M |
| Mar 2022 | 88M | +6.3M |
| Feb 2022 | 87.5M | +6.4M |
| Jan 2022 | 87.1M | +6.5M |
| Dec 2021 | 86.5M | +6.6M |
| Nov 2021 | 85.9M | +6.8M |
| Oct 2021 | 85.5M | +7.2M |
| Sep 2021 | 85M | +7.4M |
| Aug 2021 | 84.4M | +7.7M |
| Jul 2021 | 83.8M | +8M |
| Jun 2021 | 83.3M | +8.4M |
| May 2021 | 82.8M | +9M |
| Apr 2021 | 82.3M | +9.6M |
| Mar 2021 | 81.7M | +10.4M |
| Feb 2021 | 81.1M | +10.1M |
| Jan 2021 | 80.6M | +9.5M |
| Dec 2020 | 79.9M | +8.9M |
| Nov 2020 | 79.1M | +8M |
| Oct 2020 | 78.3M | +6.9M |
| Sep 2020 | 77.6M | +6.1M |
| Aug 2020 | 76.7M | +5.2M |
| Jul 2020 | 75.8M | +4.4M |
| Jun 2020 | 74.9M | +3.5M |
| May 2020 | 73.8M | +2.3M |
| Apr 2020 | 72.7M | +1.1M |
| Mar 2020 | 71.3M | −0.5M |
| Feb 2020 | 71M | −0.7M |
| Jan 2020 | 71.1M | −0.8M |
| Dec 2019 | 71M | −0.7M |
| Nov 2019 | 71.1M | −0.7M |
| Oct 2019 | 71.4M | −0.6M |
| Sep 2019 | 71.5M | −0.6M |
| Aug 2019 | 71.5M | −0.8M |
| Jul 2019 | 71.4M | −1M |
| Jun 2019 | 71.4M | −1.1M |
| May 2019 | 71.5M | −1.3M |
| Apr 2019 | 71.6M | −1.3M |
| Mar 2019 | 71.8M | −1.3M |
| Feb 2019 | 71.7M | −1.4M |
| Jan 2019 | 71.9M | −1.2M |
| Dec 2018 | 71.7M | −1.6M |
| Nov 2018 | 71.8M | −1.4M |
| Oct 2018 | 72M | −1.2M |
| Sep 2018 | 72.1M | −0.9M |
| Aug 2018 | 72.3M | −0.8M |
| Jul 2018 | 72.4M | −0.7M |
| Jun 2018 | 72.5M | −0.7M |
| May 2018 | 72.8M | — |
| Apr 2018 | 72.9M | — |
| Mar 2018 | 73.1M | — |
| Feb 2018 | 73.1M | — |
| Jan 2018 | 73.1M | — |
| Dec 2017 | 73.3M | — |
| Nov 2017 | 73.2M | — |
| Oct 2017 | 73.2M | — |
| Sep 2017 | 73M | — |
| Aug 2017 | 73.1M | — |
| Jul 2017 | 73.1M | — |
| Jun 2017 | 73.2M | — |
Monthly · Centers for Medicare & Medicaid Services Medicaid & CHIP Monthly Enrollment
Counties with the highest safety net and buffer scores
There's no county figure for this measure, so this list uses the safety net and buffer part of our County Distress Index.
| Rank | County | Score (0–100) |
|---|---|---|
| 1 | Choctaw County, OK | 94.8 |
| 2 | Stewart County, GA | 94.2 |
| 3 | Noxubee County, MS | 94.2 |
| 4 | Hudspeth County, TX | 94 |
| 5 | Brooks County, TX | 94 |
| 6 | Lake County, TN | 94 |
| 7 | Duval County, TX | 93.9 |
| 8 | Ripley County, MO | 93.5 |
| 9 | Dunklin County, MO | 93.3 |
| 10 | Quitman County, GA | 93.2 |
Questions about Medicaid and children's health insurance enrollment
How many people are enrolled in Medicaid?
States reported 72.9 million people enrolled in Medicaid or CHIP in July 2026. That combined total includes CHIP enrollees (about 7.1 million in May 2026), so Medicaid alone is smaller.
Does a drop in enrollment mean people became uninsured?
Not by itself. The count records who is enrolled on the last day of the month. It does not track whether people who left took up job-based coverage, Medicare or a Marketplace plan, or went without coverage.
Why did enrollment change after the pandemic?
During the pandemic, states that took extra federal funding could not end Medicaid coverage for most enrollees. That condition ended on March 31, 2023, and states resumed regular eligibility renewals, so people could again lose coverage at renewal. The enrollment total is a net count and does not say why any one person left.
Where does Medicaid enrollment data come from?
From the Centers for Medicare & Medicaid Services, which adds up the enrollment counts each state and DC submits every month. CMS posts each month's preliminary figure about three months after the month ends, on no fixed calendar, and restates earlier months in later releases.
Sources and method for the Medicaid / CHIP Enrollment
- Centers for Medicare & Medicaid Services Medicaid & CHIP Monthly Enrollment We use the monthly figures as published, from June 2017 through July 2026, with no adjustment of our own. Centers for Medicare & Medicaid Services doesn’t adjust this count for the season, so compare a month with the same month a year earlier. Centers for Medicare & Medicaid Services’s report
We write with assistance from AI tools. Figures come from the data and sources named on this page.