More than 2 million fewer children have been enrolled in Medicaid or the Children’s Health Insurance Program since January 2025, according to a June 10 analysis from the Georgetown University McCourt School of Public Policy Center for Children and Families in Washington, D.C.
The center compared enrollment numbers from January 2025 to the most recently available data. Drops in enrollment could stem from state-specific legislation, immigration crackdowns, administrative barriers, enforcement issues and premature decisions to not renew coverage amid upcoming Medicaid policy shifts.
Indiana, Arizona, Kentucky, Virginia and California were hit particularly hard, making both the top 10 by percentage and absolute numbers.
Here are the 10 states with the biggest enrollment dips by percentage change:
1. Indiana: -19.8%
2. Alaska: -12.7%
3. Arizona: -11.3%
4. Kentucky: -9.8%
5. Rhode Island: -9.0%
6. Virginia: -8.9%
7. Wyoming: -8.7%
8. California: -7.7%
9. South Carolina: -7.6%
10. South Dakota: -6.8%
Here are the 10 states with the biggest enrollment dips by the number of lost enrollees:
1. California: 382,776
2. Texas: 190,956
3. Indiana: 174,016
4. Florida: 121,219
5. Georgia: 93,697
6. Illinois: 92,727
7. Ohio : 80,467
8. Arizona: 74,680
9. Virginia: 67,520
10. Kentucky: 60,522
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