Medicaid Managed Care Enrollment Declined 5.5% Year-Over-Year In The Second Quarter Of 2026

Medicaid managed care enrollment across 34 states declined 5.5% year-over-year in the second quarter of 2026. Approximately 59.2 million people were enrolled in June 2026, down 3.5 million from June 2025. Only Mississippi, Nevada, and South Carolina reported enrollment increases, while Arizona, Indiana, and Louisiana recorded the largest declines. The researchers concluded that the overall decline likely reflects a combination of state-specific demographic changes, administrative processes, operational issues, and policy decisions.

The overall Medicaid and Children’s Health Insurance Program (CHIP) population declined at a similar rate, falling 5.9% from May 2025 to . . .