GITNUXREPORT 2026

Medicaid Enrollment Statistics

After pandemic-era protections ended, national Medicaid enrollment fell by over ten million people.

Min-ji Park

Research Analyst focused on sustainability and consumer trends.

First published: Feb 13, 2026

Our Commitment to Accuracy

Rigorous fact-checking · Reputable sources · Regular updatesLearn more

Statistic 1

Children under 19 comprise 38% of Medicaid enrollees nationally, totaling 28.5 million in 2023.

Statistic 2

Adults ages 19-64: 52% of enrollment, 40 million in FY 2023.

Statistic 3

Elderly (65+): 10% or 7.6 million enrollees in 2023.

Statistic 4

Children 0-5 years: 12 million, 45% of child enrollees.

Statistic 5

Non-elderly adults: 36 million in expansion adults category alone.

Statistic 6

Ages 6-18: 16.5 million children enrolled.

Statistic 7

Pregnant women: 2% of enrollees, about 1.6 million monthly.

Statistic 8

Disabled under 65: 9 million, 12% of total.

Statistic 9

Females: 55% of Medicaid enrollees, 42 million in 2023.

Statistic 10

Males: 45%, 34 million enrollees.

Statistic 11

Rural residents: 20% of enrollees, higher rate than urban.

Statistic 12

Ages 45-64: 18 million working-age adults.

Statistic 13

Infants under 1: 2.1 million, highest coverage rate 98%.

Statistic 14

Teens 12-18: 8.2 million enrolled.

Statistic 15

Seniors dual-eligible: 6 million Medicare-Medicaid.

Statistic 16

Young adults 19-25: 8% of total, 6 million.

Statistic 17

Ages 26-44: 22 million, largest adult group.

Statistic 18

Children in poverty: 80% covered by Medicaid/CHIP.

Statistic 19

Adults 50-64: 12% dual-eligible.

Statistic 20

Females ages 18-44: 18 million reproductive age.

Statistic 21

Male children: 14 million under 19.

Statistic 22

Urban enrollees: 75% of total, 57 million.

Statistic 23

Expansion adults 19-64: 20.5 million low-income.

Statistic 24

Traditional Medicaid (TANF/SSI): 28 million children and families.

Statistic 25

Aged/Blind/Disabled: 11.2 million, 15% of enrollment.

Statistic 26

CHIP separate: 8.9 million children.

Statistic 27

Foster care children: 0.45 million, 100% eligible.

Statistic 28

Breast/ Cervical Cancer (BCC): 0.05 million women.

Statistic 29

Home and Community-Based Services waiver: 2.5 million.

Statistic 30

Low-Income Families (Section 1931): 15 million.

Statistic 31

SSI recipients auto-enrolled: 7.5 million.

Statistic 32

Medicaid Buy-In for workers with disabilities: 0.4 million.

Statistic 33

Pregnant women categorical: 1.2 million monthly average.

Statistic 34

Children under 6 mandatory: 10 million at 133-138% FPL.

Statistic 35

Expansion adults up to 138% FPL: 18 million in 40 states.

Statistic 36

CHIP Medicaid expansion kids: 19 million.

Statistic 37

Medically Needy: 2.8 million spend-down.

Statistic 38

Emergency Medicaid: 0.2 million undocumented.

Statistic 39

Dual eligibles full: 12.3 million.

Statistic 40

T19 CHIP: 5 million higher income kids.

Statistic 41

ABD long-term care: 4 million institutional.

Statistic 42

Working disabled buy-in: 350,000 employed.

Statistic 43

As of June 2024, national Medicaid/CHIP enrollment stood at 79,024,067 individuals, reflecting a 6.5% decline from the previous year due to redeterminations.

Statistic 44

In December 2023, Medicaid/CHIP enrollment peaked at 91,237,954 enrollees nationwide before unwinding accelerated.

Statistic 45

FY 2023 average monthly Medicaid enrollment was 82.8 million, up 8% from FY 2022.

Statistic 46

As of March 2024, unduplicated Medicaid enrollment was 72.1 million, excluding CHIP.

Statistic 47

Post-pandemic, national Medicaid enrollment dropped by 10.3 million from April 2023 to June 2024.

Statistic 48

In FY 2022, Medicaid enrollment averaged 80.3 million, driven by continuous enrollment provisions.

Statistic 49

June 2023 Medicaid enrollment was 93.6 million, highest on record.

Statistic 50

By September 2024, national enrollment stabilized at approximately 78 million after 75% of redeterminations processed.

Statistic 51

Medicaid represented 24% of U.S. population in 2023 with 80 million enrollees.

Statistic 52

CY 2023 saw Medicaid enrollment decline of 2.1% nationally from prior year peak.

Statistic 53

As of Q1 2024, 1 in 4 Americans were enrolled in Medicaid/CHIP.

Statistic 54

FY 2021 Medicaid enrollment surged 16% to 74.8 million due to COVID-19.

Statistic 55

National Medicaid enrollment fell to 77.5 million by May 2024.

Statistic 56

Pre-ACA (2013), Medicaid enrollment was 58 million; post-ACA peaked at 94 million.

Statistic 57

In February 2024, enrollment was 83.4 million amid unwinding.

Statistic 58

CHIP enrollment nationally was 9.1 million as of June 2024.

Statistic 59

Medicaid expansion drove 20 million additional enrollees since 2014.

Statistic 60

FY 2024 projected enrollment at 76 million, down from 82 million prior year.

Statistic 61

December 2022 enrollment hit 90 million with continuous coverage.

Statistic 62

As of April 2024, 78.6 million enrolled, 12% drop from peak.

Statistic 63

Medicaid/CHIP covered 40% of U.S. births in 2023 with high enrollment.

Statistic 64

National average monthly enrollment in 2020 was 71.4 million.

Statistic 65

By July 2024, enrollment reached 76.8 million post-unwinding.

Statistic 66

ACA expansion states averaged 25% enrollment growth 2014-2019.

Statistic 67

Non-expansion states had 15 million fewer potential enrollees.

Statistic 68

FY 2019 enrollment was 71.3 million pre-pandemic.

Statistic 69

Medicaid enrollment share of low-income population: 70% in 2022.

Statistic 70

Peak continuous enrollment: 94 million in mid-2023.

Statistic 71

Q4 2023 enrollment: 85.2 million.

Statistic 72

Projected 2025 enrollment: 75 million stabilizing.

Statistic 73

California had 15.3 million Medicaid enrollees as of June 2024, largest in U.S.

Statistic 74

New York Medicaid enrollment: 7.9 million in FY 2023.

Statistic 75

Texas enrolled 5.6 million in Medicaid/CHIP by Q2 2024.

Statistic 76

Florida Medicaid: 4.8 million enrollees post-unwinding June 2024.

Statistic 77

Pennsylvania: 3.7 million in Medicaid as of May 2024.

Statistic 78

Illinois enrollment: 3.2 million after 12% unwinding drop.

Statistic 79

Ohio: 3.1 million enrollees in June 2024.

Statistic 80

North Carolina: 2.8 million, expansion state with rapid growth.

Statistic 81

Michigan: 2.9 million post-unwinding.

Statistic 82

Georgia: 2.5 million, non-expansion with high uninsured.

Statistic 83

Washington: 1.9 million, 25% of state population.

Statistic 84

Louisiana: 1.7 million, expansion boosted by 50% since 2016.

Statistic 85

Massachusetts: 1.6 million, universal coverage state.

Statistic 86

Tennessee: 1.5 million, non-expansion.

Statistic 87

Indiana: 1.4 million post-ACA expansion.

Statistic 88

Missouri: 1.3 million after recent expansion.

Statistic 89

Oregon: 1.4 million, high per capita enrollment.

Statistic 90

Kentucky: 1.5 million, early expander with 40% growth.

Statistic 91

Oklahoma: 1.0 million post-2021 expansion.

Statistic 92

West Virginia: 0.55 million, highest coverage rate at 30%.

Statistic 93

New Mexico: 0.9 million, 40% of population enrolled.

Statistic 94

Arkansas: 0.9 million after work requirements lifted.

Statistic 95

Montana: 0.3 million, recent expansion.

Statistic 96

Wyoming: 0.08 million, lowest absolute enrollment.

Statistic 97

Expansion states averaged 28% enrollment increase 2014-2023.

Statistic 98

Non-expansion states like Texas had 20% uninsured rate vs. 10% in expansion.

Statistic 99

Enrollment grew 20% from 2019-2023 due to ACA and pandemic.

Statistic 100

Unwinding led to 24 million disenrollments processed by June 2024.

Statistic 101

ACA implementation: +15 million enrollees 2014-2016.

Statistic 102

COVID continuous enrollment: +14 million added 2020-2023.

Statistic 103

FY 2024 saw 7% decline post-unwinding start.

Statistic 104

Pre-ACA 2008: 58.5 million; 2023 peak 94 million.

Statistic 105

Monthly decline rate: 1% per month April-Dec 2023.

Statistic 106

CHIP reauthorization 2018 added 2 million kids.

Statistic 107

Recession 2008-2012: +10 million enrollees.

Statistic 108

Expansion states +40% growth 2014-2023 vs. +10% non.

Statistic 109

Q1 2024 disenrollments: 10 million nationwide.

Statistic 110

2020 surge: 20% increase in 3 months.

Statistic 111

Stabilized enrollment projected flat 2025.

Statistic 112

Post-unwinding renewal rate: 75% retained.

Statistic 113

ARRA stimulus 2009 prevented cuts, enrollment +4 million.

Statistic 114

2017-2018 waiver attempts slowed growth to 2%.

Statistic 115

Pandemic unwinding began April 2023, -2 million by July.

Statistic 116

Children enrollment stable, -1% vs. adults -15%.

Statistic 117

Duals enrollment +5% during pandemic.

Statistic 118

FY2016 peak pre-pandemic: 72 million.

Statistic 119

2024 redeterminations 90% complete, enrollment bottomed.

1/119

Sources

Trusted by 500+ publications

+497

After hitting a record high of 94 million people, Medicaid enrollment has experienced a dramatic shift, with millions now navigating the post-pandemic landscape as the program contracts back toward pre-pandemic levels.

Key Takeaways

As of June 2024, national Medicaid/CHIP enrollment stood at 79,024,067 individuals, reflecting a 6.5% decline from the previous year due to redeterminations.
In December 2023, Medicaid/CHIP enrollment peaked at 91,237,954 enrollees nationwide before unwinding accelerated.
FY 2023 average monthly Medicaid enrollment was 82.8 million, up 8% from FY 2022.
California had 15.3 million Medicaid enrollees as of June 2024, largest in U.S.
New York Medicaid enrollment: 7.9 million in FY 2023.
Texas enrolled 5.6 million in Medicaid/CHIP by Q2 2024.
Children under 19 comprise 38% of Medicaid enrollees nationally, totaling 28.5 million in 2023.
Adults ages 19-64: 52% of enrollment, 40 million in FY 2023.
Elderly (65+): 10% or 7.6 million enrollees in 2023.
Expansion adults 19-64: 20.5 million low-income.
Traditional Medicaid (TANF/SSI): 28 million children and families.
Aged/Blind/Disabled: 11.2 million, 15% of enrollment.
Enrollment grew 20% from 2019-2023 due to ACA and pandemic.
Unwinding led to 24 million disenrollments processed by June 2024.
ACA implementation: +15 million enrollees 2014-2016.

After pandemic-era protections ended, national Medicaid enrollment fell by over ten million people.

Age Demographics

Children under 19 comprise 38% of Medicaid enrollees nationally, totaling 28.5 million in 2023.
Adults ages 19-64: 52% of enrollment, 40 million in FY 2023.
Elderly (65+): 10% or 7.6 million enrollees in 2023.
Children 0-5 years: 12 million, 45% of child enrollees.
Non-elderly adults: 36 million in expansion adults category alone.
Ages 6-18: 16.5 million children enrolled.
Pregnant women: 2% of enrollees, about 1.6 million monthly.
Disabled under 65: 9 million, 12% of total.
Females: 55% of Medicaid enrollees, 42 million in 2023.
Males: 45%, 34 million enrollees.
Rural residents: 20% of enrollees, higher rate than urban.
Ages 45-64: 18 million working-age adults.
Infants under 1: 2.1 million, highest coverage rate 98%.
Teens 12-18: 8.2 million enrolled.
Seniors dual-eligible: 6 million Medicare-Medicaid.
Young adults 19-25: 8% of total, 6 million.
Ages 26-44: 22 million, largest adult group.
Children in poverty: 80% covered by Medicaid/CHIP.
Adults 50-64: 12% dual-eligible.
Females ages 18-44: 18 million reproductive age.
Male children: 14 million under 19.
Urban enrollees: 75% of total, 57 million.

Age Demographics Interpretation

It is a program that catches a nation's most vulnerable at every stage of life, from nearly every infant born into its safety net to the elderly relying on it for dignity, proving that Medicaid is not a niche benefit but the bedrock of American health.

Eligibility Groups

Expansion adults 19-64: 20.5 million low-income.
Traditional Medicaid (TANF/SSI): 28 million children and families.
Aged/Blind/Disabled: 11.2 million, 15% of enrollment.
CHIP separate: 8.9 million children.
Foster care children: 0.45 million, 100% eligible.
Breast/ Cervical Cancer (BCC): 0.05 million women.
Home and Community-Based Services waiver: 2.5 million.
Low-Income Families (Section 1931): 15 million.
SSI recipients auto-enrolled: 7.5 million.
Medicaid Buy-In for workers with disabilities: 0.4 million.
Pregnant women categorical: 1.2 million monthly average.
Children under 6 mandatory: 10 million at 133-138% FPL.
Expansion adults up to 138% FPL: 18 million in 40 states.
CHIP Medicaid expansion kids: 19 million.
Medically Needy: 2.8 million spend-down.
Emergency Medicaid: 0.2 million undocumented.
Dual eligibles full: 12.3 million.
T19 CHIP: 5 million higher income kids.
ABD long-term care: 4 million institutional.
Working disabled buy-in: 350,000 employed.

Eligibility Groups Interpretation

While the numbers paint a vast and complex mosaic of American need, Medicaid’s essential story is a bluntly human one: we've built a patchwork quilt of eligibility categories large enough to cover over 80 million vulnerable lives, proving that the safety net, for all its bureaucratic seams, is ultimately held together by the common thread of preventing catastrophe.

National Totals

As of June 2024, national Medicaid/CHIP enrollment stood at 79,024,067 individuals, reflecting a 6.5% decline from the previous year due to redeterminations.
In December 2023, Medicaid/CHIP enrollment peaked at 91,237,954 enrollees nationwide before unwinding accelerated.
FY 2023 average monthly Medicaid enrollment was 82.8 million, up 8% from FY 2022.
As of March 2024, unduplicated Medicaid enrollment was 72.1 million, excluding CHIP.
Post-pandemic, national Medicaid enrollment dropped by 10.3 million from April 2023 to June 2024.
In FY 2022, Medicaid enrollment averaged 80.3 million, driven by continuous enrollment provisions.
June 2023 Medicaid enrollment was 93.6 million, highest on record.
By September 2024, national enrollment stabilized at approximately 78 million after 75% of redeterminations processed.
Medicaid represented 24% of U.S. population in 2023 with 80 million enrollees.
CY 2023 saw Medicaid enrollment decline of 2.1% nationally from prior year peak.
As of Q1 2024, 1 in 4 Americans were enrolled in Medicaid/CHIP.
FY 2021 Medicaid enrollment surged 16% to 74.8 million due to COVID-19.
National Medicaid enrollment fell to 77.5 million by May 2024.
Pre-ACA (2013), Medicaid enrollment was 58 million; post-ACA peaked at 94 million.
In February 2024, enrollment was 83.4 million amid unwinding.
CHIP enrollment nationally was 9.1 million as of June 2024.
Medicaid expansion drove 20 million additional enrollees since 2014.
FY 2024 projected enrollment at 76 million, down from 82 million prior year.
December 2022 enrollment hit 90 million with continuous coverage.
As of April 2024, 78.6 million enrolled, 12% drop from peak.
Medicaid/CHIP covered 40% of U.S. births in 2023 with high enrollment.
National average monthly enrollment in 2020 was 71.4 million.
By July 2024, enrollment reached 76.8 million post-unwinding.
ACA expansion states averaged 25% enrollment growth 2014-2019.
Non-expansion states had 15 million fewer potential enrollees.
FY 2019 enrollment was 71.3 million pre-pandemic.
Medicaid enrollment share of low-income population: 70% in 2022.
Peak continuous enrollment: 94 million in mid-2023.
Q4 2023 enrollment: 85.2 million.
Projected 2025 enrollment: 75 million stabilizing.

National Totals Interpretation

Despite reaching a record high of over 94 million people last year, a sobering post-pandemic 'spring cleaning' has seen Medicaid shed over 10 million enrollees, proving the safety net is profoundly elastic and reminding us that coverage is often a temporary reprieve rather than a permanent guarantee.

State Variations

California had 15.3 million Medicaid enrollees as of June 2024, largest in U.S.
New York Medicaid enrollment: 7.9 million in FY 2023.
Texas enrolled 5.6 million in Medicaid/CHIP by Q2 2024.
Florida Medicaid: 4.8 million enrollees post-unwinding June 2024.
Pennsylvania: 3.7 million in Medicaid as of May 2024.
Illinois enrollment: 3.2 million after 12% unwinding drop.
Ohio: 3.1 million enrollees in June 2024.
North Carolina: 2.8 million, expansion state with rapid growth.
Michigan: 2.9 million post-unwinding.
Georgia: 2.5 million, non-expansion with high uninsured.
Washington: 1.9 million, 25% of state population.
Louisiana: 1.7 million, expansion boosted by 50% since 2016.
Massachusetts: 1.6 million, universal coverage state.
Tennessee: 1.5 million, non-expansion.
Indiana: 1.4 million post-ACA expansion.
Missouri: 1.3 million after recent expansion.
Oregon: 1.4 million, high per capita enrollment.
Kentucky: 1.5 million, early expander with 40% growth.
Oklahoma: 1.0 million post-2021 expansion.
West Virginia: 0.55 million, highest coverage rate at 30%.
New Mexico: 0.9 million, 40% of population enrolled.
Arkansas: 0.9 million after work requirements lifted.
Montana: 0.3 million, recent expansion.
Wyoming: 0.08 million, lowest absolute enrollment.
Expansion states averaged 28% enrollment increase 2014-2023.
Non-expansion states like Texas had 20% uninsured rate vs. 10% in expansion.

State Variations Interpretation

Despite California's staggering enrollment crown, the story isn't just in the raw numbers but in the starkly predictable plot twist: states that embraced Medicaid expansion wrote a tale of healthcare access, while those that resisted authored a tragedy of the uninsured, proving that policy, not just population, is the main character.

Temporal Changes

Enrollment grew 20% from 2019-2023 due to ACA and pandemic.
Unwinding led to 24 million disenrollments processed by June 2024.
ACA implementation: +15 million enrollees 2014-2016.
COVID continuous enrollment: +14 million added 2020-2023.
FY 2024 saw 7% decline post-unwinding start.
Pre-ACA 2008: 58.5 million; 2023 peak 94 million.
Monthly decline rate: 1% per month April-Dec 2023.
CHIP reauthorization 2018 added 2 million kids.
Recession 2008-2012: +10 million enrollees.
Expansion states +40% growth 2014-2023 vs. +10% non.
Q1 2024 disenrollments: 10 million nationwide.
2020 surge: 20% increase in 3 months.
Stabilized enrollment projected flat 2025.
Post-unwinding renewal rate: 75% retained.
ARRA stimulus 2009 prevented cuts, enrollment +4 million.
2017-2018 waiver attempts slowed growth to 2%.
Pandemic unwinding began April 2023, -2 million by July.
Children enrollment stable, -1% vs. adults -15%.
Duals enrollment +5% during pandemic.
FY2016 peak pre-pandemic: 72 million.
2024 redeterminations 90% complete, enrollment bottomed.

Temporal Changes Interpretation

Medicaid's recent history is a breathtaking rollercoaster: a spectacular climb fueled by the ACA and pandemic protections, only to be followed by a jarring plunge during the "unwinding," proving that in American healthcare policy, the only constant is dramatic change.

Sources & References

Logos provided by Logo.dev