H.R. 1 Projected To Reduce Medicaid Home Care Enrollment 9.4% By 2034

Nearly 312,000 fewer people are projected to receive Medicaid-funded home care by 2034 as a result of Medicaid eligibility and enrollment changes under H.R. 1 of 2025, according to the “Medicaid Home Care Chartbook 2026.” The projected reduction of 311,879 people represents a 9.4% decrease in Medicaid home care users attributable to H.R. 1 by 2034. Approximately 3.3 million Medicaid beneficiaries received home care services in 2023.

The projected effects vary widely by state. By 2034, Alaska and Rhode Island are expected to experience the largest declines, with about 30% fewer Medicaid home . . .