Child Medicaid and CHIP Enrollment Drops by 2 Million Since January 2025
Medicaid and CHIP enrollment for children declined by 2 million between January 2025 and April 2026, according to state-by-state enrollment tracking data. The decline suggests a rising child uninsured rate during this period. The enrollment drop reflects policy changes or administrative actions implemented after the Trump administration took office in January 2025. This represents a significant reversal in coverage trends for pediatric populations served by Medicaid managed care organizations.
A 2 million child enrollment decline directly impacts MCO capitation revenue, risk pool composition, and pediatric care management programs, requiring MCOs to adjust network capacity and reassess value-based arrangements tied to preventive care access.
CHIP · Managed Care
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