How many people could lose Medicaid coverage, state-by-state

Millions of people will no longer be covered by Medicaid over the next 14 months.

According to a report from the Urban Institute and the Robert Wood Johnson Foundation, an estimated 18 million people will lose Medicaid coverage by June 2024, and 3.8 million of those will become uninsured. 

On April 1, states can begin disenrolling members no longer eligible for the program for the first time since the COVID-19 public health emergency began in early 2020. 

The Urban Institute and Robert Wood Johnson Foundation report, published in December 2022,  predicts Utah will have the highest share of members disenrolled. Fourteen states will have more than 20 percent of Medicaid members disenrolled, researchers estimated. The differences are mostly the result of higher enrollment increases and unemployment rates during the pandemic, according to the report. 

States ranked from highest to lowest estimated percentage difference in enrolled Medicaid beneficiaries after redeterminations: 

Utah
Estimated enrollment April 2023: 701,000
Estimated enrollment June 2024: 473,00
Estimated members disenrolled: 228,000
Percentage difference: -32.5 

Indiana
Estimated enrollment April 2023: 1,897,000
Estimated enrollment June 2024: 1,364,000
Estimated members disenrolled: 534,000
Percentage difference: -28.1 

Minnesota 
Estimated enrollment April 2023: 1,296,000
Estimated enrollment June 2024: 943,000
Estimated members disenrolled: 353,000
Percentage difference: -27.2

North Dakota 
Estimated enrollment April 2023: 102,000
Estimated enrollment June 2024: 75,000
Estimated members disenrolled: 27,000
Percentage difference: -26.5
 

Wisconsin
Estimated enrollment April 2023: 1,278,000
Estimated enrollment June 2024: 970,000
Estimated members disenrolled: 309,000
Percentage difference: -24.1
 

Virginia 
Estimated enrollment April 2023: 1,840,000
Estimated enrollment June 2024: 1,399,000
Estimated members disenrolled: 441,000
Percentage difference: -24

Florida
Estimated enrollment April 2023: 4,515,000
Estimated enrollment June 2024: 3,438,000
Estimated members disenrolled: 1,076,000
Percentage difference: -23.8

Wyoming
Estimated enrollment April 2023: 70,000
Estimated enrollment June 2024: 54,000
Estimated members disenrolled: 16,000
Percentage difference: -23.1
 

Maine
Estimated enrollment April 2023: 395,000
Estimated enrollment June 2024: 306,000
Estimated members disenrolled: 89,000
Percentage difference: -22.5

Arizona
Estimated enrollment April 2023: 2,252,000
Estimated enrollment June 2024: 1,751,000
Estimated members disenrolled: 500,000
Percentage difference: -22.2

Nevada
Estimated enrollment April 2023: 856,000
Estimated enrollment June 2024: 670,000
Estimated members disenrolled: 186,000
Percentage difference: -21.7
 

New Hampshire
Estimated enrollment April 2023: 261,000
Estimated enrollment June 2024: 204,000
Estimated members disenrolled: 57,000
Percentage difference: 21.7

Colorado
Estimated enrollment April 2023: 1,569,000
Estimated enrollment June 2024: 1,238,000
Estimated members disenrolled: 331,000
Percentage difference: -21.1
 

Idaho
Estimated enrollment April 2023: 479,000
Estimated enrollment June 2024: 380,000
Estimated members disenrolled: 99,000
Percentage difference: -20.6

Texas
Estimated enrollment April 2023: 6,069,000
Estimated enrollment June 2024: 4,860,000
Estimated members disenrolled: 1,208,000
Percentage difference: -19.9

West Virginia 
Estimated enrollment April 2023: 596,000
Estimated enrollment June 2024: 481,000
Estimated members disenrolled: 115,000
Percentage difference: -19.3

Vermont
Estimated enrollment April 2023: 154,000
Estimated enrollment June 2024: 125,000
Estimated members disenrolled: 29,000
Percentage difference: -19

Arkansas
Estimated enrollment April 2023: 1,082,000
Estimated enrollment June 2024: 879,000
Estimated members disenrolled: 202,000
Percentage difference: -18.7

Hawaii
Estimated enrollment April 2023: 329,000
Estimated enrollment June 2024: 268,000
Estimated members disenrolled: 61,000
Percentage difference: -18.5
 

New Jersey 
Estimated enrollment April 2023: 1,939,000
Estimated enrollment June 2024: 1,588,000
Estimated members disenrolled: 352,000
Percentage difference: -18.1

South Dakota 
Estimated enrollment April 2023: 139,000
Estimated enrollment June 2024: 114,000
Estimated members disenrolled: 25,000
Percentage difference: -18

Michigan
Estimated enrollment April 2023: 2,646,000
Estimated enrollment June 2024: 2,176,000
Estimated members disenrolled: 471,000
Percentage difference: -17.8
 

Ohio
Estimated enrollment April 2023: 2,906,000
Estimated enrollment June 2024: 2,393,000
Estimated members disenrolled: 513,000
Percentage difference: -17.6

Delaware
Estimated enrollment April 2023: 233,000
Estimated enrollment June 2024: 193,000
Estimated members disenrolled: 40,000
Percentage difference: -17.4

Illinois
Estimated enrollment April 2023: 3,032,000
Estimated enrollment June 2024: 2,507,000
Estimated members disenrolled: 526,000
Percentage difference: -17.3

Missouri
Estimated enrollment April 2023: 1,591,000
Estimated enrollment June 2024: 1,318,000
Estimated members disenrolled: 274,000
Percentage difference: -17.2 

Oregon
Estimated enrollment April 2023: 1,212,000
Estimated enrollment June 2024: 1,005,000
Estimated members disenrolled: 206,000
Percentage difference: -17

Georgia
Estimated enrollment April 2023: 2,353,000
Estimated enrollment June 2024: 1,958,000
Estimated members disenrolled: 395,000
Percentage difference: -16.8
 

Pennsylvania
Estimated enrollment April 2023: 2,996,000
Estimated enrollment June 2024: 2,502,00
Estimated members disenrolled: 494,000
Percentage difference: -16.5

Louisiana
Estimated enrollment April 2023: 1,669,000
Estimated enrollment June 2024: 1,401,000
Estimated members disenrolled: 268,000
Percentage difference: -16.1
 

New York 
Estimated enrollment April 2023: 6,854,000
Estimated enrollment June 2024: 5,779,000
Estimated members disenrolled: 1,075,000
Percentage difference: -16

Montana
Estimated enrollment April 2023: 309,000
Estimated enrollment June 2024: 261,000
Estimated members disenrolled: 48,000
Percentage difference: -15.5

Kentucky
Estimated enrollment April 2023: 1,577,000
Estimated enrollment June 2024: 1,333,000
Estimated members disenrolled: 243,000
Percentage difference: -15.4
 

North Carolina 
Estimated enrollment April 2023: 2,489,000
Estimated enrollment June 2024: 2,114,000
Estimated members disenrolled: 375,000
Percentage difference: -15.1

District of Columbia 
Estimated enrollment April 2023: 265,000
Estimated enrollment June 2024: 225,000
Estimated members disenrolled: 40,000
Percentage difference: -15

Massachusetts
Estimated enrollment April 2023: 1,934,000
Estimated enrollment June 2024: 1,648,000
Estimated members disenrolled: 285,000
Percentage difference: -14.8 

South Carolina 
Estimated enrollment April 2023: 1,118,000
Estimated enrollment June 2024: 952,000
Estimated members disenrolled: 166,000
Percentage difference: -14.8 
 

Oklahoma 
Estimated enrollment April 2023: 1,093,000
Estimated enrollment June 2024: 933,000
Estimated members disenrolled: 160,000
Percentage difference: -14.6
 

Rhode Island 
Estimated enrollment April 2023: 306,000
Estimated enrollment June 2024: 261,000
Estimated members disenrolled: 45,000
Percentage difference: -14.6
 

Mississippi 
Estimated enrollment April 2023: 709,000
Estimated enrollment June 2024: 607,000
Estimated members disenrolled: 102,000
Percentage difference: -14
 

Maryland 
Estimated enrollment April 2023: 1,526,000
Estimated enrollment June 2024: 1,325,000
Estimated members disenrolled: 201,000
Percentage difference: -13.2

Tennessee
Estimated enrollment April 2023: 1,562,000
Estimated enrollment June 2024: 1,361,000
Estimated members disenrolled: 201,000
Percentage difference: -12.9
 

California
Estimated enrollment April 2023: 12,866,000
Estimated enrollment June 2024: 11,236,000
Estimated members disenrolled: 1,629,000
Percentage difference: -12.7

Iowa
Estimated enrollment April 2023: 785,000
Estimated enrollment June 2024: 685,000
Estimated members disenrolled: 99,000
Percentage difference: -12.6
 

New Mexico
Estimated enrollment April 2023: 825,000
Estimated enrollment June 2024: 726,000
Estimated members disenrolled: 99,000
Percentage difference: -12.1
 

Alaska
Estimated enrollment April 2023: 234,000
Estimated enrollment June 2024: 206,000
Estimated members disenrolled: 28,000
Percentage difference: -12
 

Alabama
Estimated enrollment April 2023: 1,104,000
Estimated enrollment June 2024: 976,000
Estimated members disenrolled: 129,000
Percentage difference: -11.7

Kansas
Estimated enrollment April 2023: 417,000
Estimated enrollment June 2024: 372,000
Estimated members disenrolled: 45,000
Percentage difference: -10.9
 

Connecticut 
Estimated enrollment April 2023: 898,000
Estimated enrollment June 2024: 801,000
Estimated members disenrolled: 97,000
Percentage difference: -10.8 

Nebraska
Estimated enrollment April 2023: 354,000
Estimated enrollment June 2024: 316,000
Estimated members disenrolled: 38,000
Percentage difference: -10.7


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