As of June 2024: June 2026, Medicaid and CHIP reached 79,304,451 people nationwide, a small monthly dip that still leaves tens of millions relying on the program. At the same time, the post pandemic unwinding has already removed coverage for 25.1 million people through June 2024, while Medicaid remains the backbone for services like nursing home care and pediatric well child visits. The result is a dataset full of tight connections and sudden shifts across age, coverage type, and spending that you can only see when you look at the full picture.
Key Takeaways
- As of June 2024: June 2026, total Medicaid/CHIP enrollment stood at 79,304,451 individuals across the U.S., reflecting a 0.5% decline from the previous month.
- In FY 2023, Medicaid enrollment averaged 81.8 million per month, a record high driven by pandemic-era continuous enrollment provisions.
- Children under 19 represent 37% of Medicaid enrollees, totaling approximately 29.5 million children in 2023.
- In FY 2023, 49% of U.S. population below poverty enrolled in Medicaid.
- Black Americans comprise 20% of Medicaid enrollees but 13% of U.S. population in 2022.
- Hispanics/Latinos make up 25% of Medicaid enrollees in 2023.
- In FY 2023, total Medicaid spending reached $872 billion.
- Federal Medicaid spending in FY 2023 was $557.9 billion, 57% of total program costs.
- State Medicaid spending in FY 2023 totaled $314 billion.
- In 2014, 28 states plus DC adopted Medicaid expansion.
- 10 states remain non-expansion as of 2024, covering 2.3 million fewer adults.
- Expansion states have 15% lower uninsured rates for adults.
- Hospital utilization rate for Medicaid enrollees was 150 visits per 1,000 in 2022.
- Medicaid covers 100% of routine vaccines for children under CHIP.
- In 2022, 62% of Medicaid enrollees were in managed care plans.
As of June 2024: June 2026, 79.3 million people were enrolled in Medicaid and CHIP, down slightly but at record levels.
Related reading
01 · Category
Enrollment and Coverage20 stats
01
As of June 2024: June 2026, total Medicaid/CHIP enrollment stood at 79,304,451 individuals across the U.S., reflecting a 0.5% decline from the previous month.
02
In FY 2023, Medicaid enrollment averaged 81.8 million per month, a record high driven by pandemic-era continuous enrollment provisions.
03
Children under 19 represent 37% of Medicaid enrollees, totaling approximately 29.5 million children in 2023.
04
Medicaid expansion under the ACA covered 20.3 million adults in 36 states and DC as of 2024.
05
During the COVID-19 unwinding period through June 2024, 25.1 million people were disenrolled from Medicaid nationwide.
06
In 2022, Medicaid/CHIP covered 41% of all U.S. births, amounting to 1.8 million newborns.
07
Elderly enrollees (65+) made up 11% of Medicaid population in 2021, about 8 million individuals.
08
Working-age adults (19-64) without disabilities comprised 24% of enrollees in FY 2022, roughly 18 million.
09
In 2023, Medicaid enrollment among non-elderly adults reached 32.5 million.
10
Dual-eligible individuals (Medicare-Medicaid) numbered 12.3 million in 2022, 15% of total Medicaid enrollees.
11
By December 2023, 40 states had completed 90% or more of Medicaid unwinding actions.
12
Medicaid covered 50% of all U.S. children in low-income families in 2022.
13
In FY 2021, average monthly Medicaid enrollment was 74.9 million.
14
Expansion states saw Medicaid enrollment grow by 25% from 2013 to 2023.
15
In 2024, Medicaid/CHIP enrollment in expansion states averaged 58 million.
16
Non-expansion states had 22 million Medicaid enrollees in 2023.
17
Medicaid enrollment peaked at 94 million in March 2023 due to continuous enrollment.
18
By mid-2024, child enrollment in Medicaid/CHIP dropped 7% from pandemic highs.
19
In 2022, 7.2 million people gained Medicaid coverage due to ACA expansion.
20
Medicaid covers 93% of nursing home residents nationwide.
Interpretation
Enrollment and Coverage Interpretation
Despite setting a pandemic-era record of nearly 94 million enrollees—an anchor for a nation in crisis—the program is now experiencing the sobering postscript of 'unwinding,' where a drop in the total figure belies the immense and ongoing human stakes for the 1.8 million newborns it delivers, the 50% of low-income children it protects, and the 93% of nursing home residents it cares for.
02 · Category
Population Served20 stats
01
In FY 2023, 49% of U.S. population below poverty enrolled in Medicaid.
02
Black Americans comprise 20% of Medicaid enrollees but 13% of U.S. population in 2022.
03
Hispanics/Latinos make up 25% of Medicaid enrollees in 2023.
04
Women represent 58% of non-elderly adult Medicaid enrollees.
05
60% of Medicaid enrollees are from working families in 2022.
06
Rural residents comprise 20% of Medicaid enrollees, higher than their 15% population share.
07
People with disabilities account for 12% of enrollees but 40% of spending in 2021.
08
Low-income children (under 200% FPL) are 95% of child Medicaid/CHIP enrollees.
09
Pregnant women covered by Medicaid numbered 2.2 million annually pre-pandemic.
10
SSI recipients automatically eligible for Medicaid total 7.5 million.
11
Veterans represent 5% of Medicaid enrollees, about 4 million in 2022.
12
Foster care children (under 19) are 100% eligible for Medicaid.
13
In 2023, 28% of Medicaid enrollees were non-citizens or immigrants.
14
Adults with behavioral health conditions comprise 25% of enrollees.
15
Sickle cell disease patients: Medicaid covers 65% of them.
16
In expansion states, 80% of new enrollees are working or recently worked.
17
Medicaid enrollees aged 50-64 without Medicare: 6 million in 2022.
18
American Indians/Alaska Natives: 28% enrolled in Medicaid.
19
In 2022, Medicaid served 10 million people with HIV/AIDS.
20
75% of Medicaid spending for children goes to healthy kids under 6.
Interpretation
Population Served Interpretation
Medicaid, in its vital and sprawling way, is not just a safety net for the poor but a structural beam holding up America's working families, rural communities, veterans, children, and those facing illness and disability, revealing a program that catches an astonishing cross-section of the country where the private market and often luck have failed.
03 · Category
Spending and Financing23 stats
01
In FY 2023, total Medicaid spending reached $872 billion.
02
Federal Medicaid spending in FY 2023 was $557.9 billion, 57% of total program costs.
03
State Medicaid spending in FY 2023 totaled $314 billion.
04
Medicaid acute care spending per enrollee was $4,710in FY 2022.
05
Long-term services and supports (LTSS) accounted for 28% of Medicaid spending in 2021, or $211 billion.
06
In 2022, Medicaid paid $98 billion for prescription drugs.
07
Managed care organizations received 65% of Medicaid payments in 2023, totaling $565 billion.
08
Fee-for-service spending dropped to 25% of total Medicaid expenditures in FY 2022.
09
Per enrollee Medicaid spending grew 7.2% in 2022.
10
Federal matching rate (FMAP) averaged 60% for states in FY 2023.
11
Medicaid hospital spending was $202 billion in 2022, 24% of total.
12
In FY 2023, Medicaid spending on children was $122 billion.
13
Elderly LTSS spending comprised 47% of total LTSS costs in 2021.
14
Expansion states' Medicaid spending increased by 40% from 2013-2022.
15
Average state Medicaid budget was $10.5 billion in FY 2023.
16
Pharmacy spending per enrollee rose 12% to $1,200 in 2022.
17
Medicaid rebates from drug manufacturers totaled $58 billion in 2022.
18
Capitation payments in managed care averaged $350per member per month in 2023.
19
In 2023, 42% of Medicaid spending was for working-age adults.
20
Total Medicaid benefit spending grew 9.6% in FY 2022.
21
Federal share of LTSS spending was 62% in 2021.
22
States spent $45 billion on Medicaid administration in FY 2023.
23
Medicaid physician spending per enrollee was $450in 2022.
Interpretation
Spending and Financing Interpretation
The federal government foots the majority of the nearly $900 billion tab for Medicaid, a program whose managed-care dominated spending is growing briskly across states, driven significantly by the costly, essential long-term care for an aging population and prescription drugs for all.
More related reading
04 · Category
State Variations and Expansion22 stats
01
In 2014, 28 states plus DC adopted Medicaid expansion.
02
10 states remain non-expansion as of 2024, covering 2.3 million fewer adults.
03
Expansion states have 15% lower uninsured rates for adults.
04
Florida's Medicaid enrollment: 4.8 million in 2023.
05
California's Medicaid (Medi-Cal) serves 15 million, 39% of population.
06
FMAP rates vary: Mississippi 78%, New York 50% in FY2024.
07
Texas non-expansion leaves 800,000 in coverage gap.
08
New York spends $92 billion on Medicaid annually.
09
17 GOP-led states expanded post-2020, adding 4 million enrollees.
10
Rural hospitals in expansion states: 50% less closure risk.
11
Oklahoma's 2021 expansion added 600,000 enrollees.
12
Per capita Medicaid spending highest in DC at $15,000.
13
Missouri voters approved expansion in 2020, effective July 2021.
14
Non-expansion states have 2.5x higher uninsured poor adults.
15
Pennsylvania expansion saved $1 billion in state funds via taxes.
16
Utah's partial expansion covers 150,000 via waiver.
17
Georgia's Pathways waiver enrolled 500,000 by 2024.
18
Expansion reduced state uncompensated care costs by 25%.
19
North Carolina expanded in Dec 2023, projecting 600,000 new enrollees.
20
Indiana's Healthy Indiana Plan has work requirements for 500,000.
21
Waiver approvals: CMS approved 50 Section 1115 in 2023.
22
South Dakota expansion in 2023 added 20,000 enrollees quickly.
Interpretation
State Variations and Expansion Interpretation
Here's a line that blends the impact of policy choices with a touch of wit: While the federal government picks up the tab for states to insure their poorest residents, a stubborn few are leaving billions on the table and their citizens in the lurch, proving that in health care, cutting off your nose to spite your face is both a political strategy and a public health crisis.
05 · Category
Utilization and Services20 stats
01
Hospital utilization rate for Medicaid enrollees was 150 visits per 1,000 in 2022.
02
Medicaid covers 100% of routine vaccines for children under CHIP.
03
In 2022, 62% of Medicaid enrollees were in managed care plans.
04
Emergency department visits by Medicaid patients: 45 million annually.
05
Medicaid dental coverage utilization: 30% of adult enrollees in 2021.
06
Home health services used by 10% of Medicaid LTSS enrollees.
07
Behavioral health services: Medicaid covers 26% of U.S. spending.
08
Opioid treatment: 40% of Medicaid enrollees with OUD receive medication-assisted treatment.
09
Preventive services utilization: 70% of children get well-child visits.
10
Nursing facility days: 8 million enrollees used 1.2 billion days in 2021.
11
Telehealth visits in Medicaid surged 3,000% during pandemic peak.
12
Prescription fills: 1.2 billion for Medicaid in 2022.
13
Cancer screening rates: Medicaid women have 85% mammography rate.
14
HCBS waiver slots: 700,000 people served in 2022.
15
Inpatient hospital stays: Average 4.2 days for Medicaid patients.
16
Mental health inpatient utilization: 12% of Medicaid psychiatric beds.
17
Vision services: 50 states cover for children, 37 for adults.
18
Hospice care: Medicaid pays for 40% of enrollees' end-of-life care.
19
Primary care visits per enrollee: 4.5 annually in managed care.
20
Maternal care: Medicaid prenatal care initiation within first trimester 85%.
Interpretation
Utilization and Services Interpretation
The statistics paint a portrait of Medicaid as a colossal, often stretched-thin, healthcare workhorse that administers immense preventative care—from ensuring most kids get their check-ups and vaccines to covering a quarter of the nation's behavioral health spending—while simultaneously struggling to get some adults to the dentist, racing to adapt via telehealth and managed care, and ultimately serving as a critical, if sometimes overburdened, safety net for millions in moments of acute crisis, chronic need, and dignified end-of-life care.
Reference
Cite This Report
This report is designed to be cited. We maintain stable URLs and versioned verification dates. Copy the format appropriate for your publication below.
APA
Marie Larsen. (2026, February 13). Medicaid Statistics. Gitnux. https://gitnux.org/medicaid-statistics
MLA
Marie Larsen. "Medicaid Statistics." Gitnux, 13 Feb 2026, https://gitnux.org/medicaid-statistics.
Chicago
Marie Larsen. 2026. "Medicaid Statistics." Gitnux. https://gitnux.org/medicaid-statistics.
Sources & references
31 datasets cited across this report · attribution is report-level