All 41 states that expanded Medicaid eligibility under the Affordable Care Act will see fewer people covered due to new federal work requirements and more frequent eligibility checks. But the percentage of recipients who lose coverage will vary greatly from state to state, depending on how state officials implement the new rules, according to a new report.
The report, released this week by the Urban Institute with support from the Robert Wood Johnson Foundation, projects that in 2028, between 4.9 million and 10.1 million people will lose coverage as a result of the federal policy changes included in the broad tax and spending measure President Donald Trump signed last summer. That prediction is roughly in line with estimates by the Congressional Budget Office, which projected last fall that the changes would increase the number of people without health insurance by 7.5 million in 2034.
Source: State policy will determine how many people lose Medicaid under work rules / Stateline