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MAP SHOWS STATES WHERE 1 MILLION PEOPLE WERE REMOVED FROM HEALTH CARE PLAN

Published Apr 16, 2024 at 12:00 PM EDT

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01:05
19 Million Americans Taken Off Medicaid—But Many Could Still Be Eligible
By Suzanne Blake
Reporter, Consumer & Social Trends
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Millions of Americans have been disenrolled from Medicaid plans after the
federal government stopped offering continuous coverage to recipients during the
pandemic.

Altogether, at least 19.6 million Medicaid enrollees were taken off their plans,
according to a new Kaiser Family Foundation report. This makes up 30 percent of
enrollees since Medicaid began its unwinding process for Americans who are no
longer eligible for the health care program.



That unwinding marks a major shift since the COVID-19 pandemic, when the federal
government adopted an automatic renewal for all recipients to prevent major
disruptions to health care during the global health disaster. However, starting
this year, Medicaid recipients had to apply again, and many were booted from the
health care they have been using for years.

A Flourish map
Texas, California, New York and Florida saw the highest numbers of Medicaid
de-enrollments during the unwinding period.

Across the country, the number of disenrollees per state typically came down to
how populous a state was.

The top 10 states for Medicaid disenrollments as of this month were as follows:
Texas (2.1 million); California (1.6 million); Florida (1.4 million); New York
(1.4 million); Pennsylvania (848,000); Massachusetts (750,000); Ohio (707,000);
Oklahoma (690,000); Michigan (867,000); and Arizona (611,000).


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 * New York removes 1.4 million people from health care plan
 * Florida removes 1.4 million people from health care plan
 * California removes 336,000 children from health care plan

"Since their Medicaid populations are so large, it makes sense that they also
have the highest number of disenrollments during the unwinding period," Louise
Norris, health policy analyst for healthinsurance.org, told Newsweek. "The
number of eligibility redeterminations they're processing each month is higher
than some states' total Medicaid enrollment."


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Wyoming, Alaska, Vermont and the District of Columbia reported some of the
smallest disenrollments, at between 5,000 and 30,000.


Participant seen holding a sign at the protest. NYC Health Advocates organized a
rally outside Jones Day offices in Manhattan, the law firm currently
representing drug corporations suing to stop medicare negotiations for lower
drug... Participant seen holding a sign at the protest. NYC Health Advocates
organized a rally outside Jones Day offices in Manhattan, the law firm currently
representing drug corporations suing to stop medicare negotiations for lower
drug prices. Millions of Americans have been removed from their Medicaid plans
this year during the unwinding process. More Erik McGregor/LightRocket via Getty
Images


Not all of the Medicaid disenrollments could be attributed to sheer population
size alone, however.

Southern states like Texas and South Carolina targeted enrollees who were no
longer eligible under specific state-mandated guidelines, while other areas of
the country sought to expand coverage.

Texas kicked off 2.1 million Medicaid enrollees and kept on 1.9 million, with
many of the disenrollments concentrated among children. Roughly 65 percent of
the unenrolled were children in the Lone Star state.

"It is our belief that a large portion of them qualified through the temporary
COVID Medicaid expansion and now don't qualify," Smile Insurance Group CEO Chris
Fong told Newsweek. He added that reinstatement will be more difficult in Texas
compared to other states.



"The health care situation in Texas is very challenging, which is causing many
people to go without health insurance in Texas," Fong said. "An adult may
financially qualify for Medicaid in Texas, but they are not able to get Medicaid
because they do not have a dependent child under 18."

States like New York, which also saw substantial numbers of Americans lose
coverage, are working to expand who is eligible for Medicaid and programs like
it.

New York specifically has one of the highest limits for the Children's Health
Insurance Program (CHIP), at up to 400 percent of the poverty level. CHIPS is a
state and federally-run program that offers health insurance to children from
families with incomes too high to earn Medicaid but too low for private
coverage.

The state also expanded its Basic Health Program to cover adults with income up
to 250 percent of the poverty level, which is considerably higher than many
other states. That means those who end up not qualifying for Medicaid this year
could likely find other coverage through that plan.



Keep in mind, across all states, procedural reasons like missing a deadline or
having an incorrect updated address saw a bulk of the Medicaid disenrollments.
That amounted to roughly 69 percent of those removed, KFF found.

In many cases, the states lost the current contact information for an enrollee
or they lost track of the deadline to apply for new coverage.

Those who lost their coverage because they were rejected from Medicaid, however,
usually fell out of an eligibility category, like health or income status.

"They usually only find out that they have lost Medicaid when they try going to
the doctor and they are told they have no insurance," Fong said. "The best
advice we can give is if someone finds themselves in the position where they
have lost Medicaid is to immediately contact their state Medicaid agency, find
out the reasons for the loss, and reapply if they still qualify."




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ABOUT THE WRITER

Suzanne Blake
FOLLOW


Suzanne Blake is a Newsweek reporter based in New York. Her focus is reporting
on consumer and social trends, spanning from retail to restaurants and beyond.
She is a graduate of UNC Chapel Hill and joined Newsweek in 2023. You can get in
touch with Suzanne by emailing s.blake@newsweek.com.

Languages: English

Suzanne Blake is a Newsweek reporter based in New York. Her focus is reporting
on consumer and social trends, spanning ... Read more

To read how Newsweek uses AI as a newsroom tool, Click here.







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