Health Care

Report: Medicaid enrollment declines, spending increases expected

States have shed more than 10 million people from Medicaid rolls since April.
Maryland Del. Joseline Pena-Melnyk, a Democrat who chairs the Maryland House and Government Operations Committee, speaks at a news conference on Thursday, May 11, 2023 in Annapolis, Md. in front of the Maryland State House. (AP Photo/Brian Witte)

State Medicaid officials across the country expect sharp enrollment declines and increases in spending on state Medicaid programs as pandemic-era policies continue to unwind, according to a report released Tuesday by KFF, a non-partisan health policy research and analysis organization.

The 23rd annual survey of state Medicaid directors found that states expect national Medicaid enrollment to decline by 8.6% in the 2024 state fiscal year, a dramatic year-over-year decline after enrollment reached record highs last year. 

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