2.3 Million Young Adults Could Lose Medicaid Under Big Beautiful Bill

The Urban Institute estimates 2.3 million young adults could lose Medicaid coverage under the Big Beautiful Bill, a federal legislative proposal. Actual disenrollment numbers will depend on state implementation choices, particularly how states design income verification and renewal processes. Young adults face higher disenrollment risk due to frequent address changes and participation in gig economy work that complicates income documentation. The findings highlight operational challenges states and managed care plans will face in maintaining continuity of coverage for this population.

Managed Care