Medicaid Monitor
Policy Intelligence
Medicaid Monitor
Policy Intelligence
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State Policy·June 11, 2026

Child Medicaid and CHIP Enrollment Down 2 Million Since January 2025

Child enrollment in Medicaid and CHIP has declined by more than 2 million since January 2025, according to Georgetown University's Center for Children and Families. The declines vary significantly by state and affect children in working families who often lack access to affordable employer-sponsored coverage. The enrollment losses represent a continuation of coverage instability following the end of the Medicaid continuous enrollment provision. These drops matter because many affected children become uninsured rather than transitioning to other coverage.

Why it matters for managed care

Sharp enrollment declines directly reduce MCO premium revenue and can destabilize risk pools, particularly in plans with significant pediatric membership or CHIP contracts.

CHIP · Managed Care

Read the full article at ccf.georgetown.edu

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