Medicaid Enrollment Statistics 2019

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During the 2019 policy year, over 72.9 million Americans enrolled in their state Medicaid programs. This was down 1.1 million (2%) from 2018, which had 74 million individuals apply for the federal and state health insurance program. Medicaid is designed to be a low-cost insurance plan for low-income individuals who cannot afford individual health insurance or who do not receive health insurance through an employer.

Medicaid enrollment changes

Enrollment for Medicaid occurs every year during the open enrollment period. This is when you can visit the healthcare.gov website to apply and find out if you are eligible for the health insurance program. If you are already enrolled in Medicaid, you still need to reapply during the open enrollment period.

Medicaid covers people with low-incomes, disabilities or drug addictions. The federally funded program provided opioid addiction help to 4 in 10 nonelderly adults. This allowed individuals to get increased access to treatment centers and intervention courses.

Virginia saw the largest jump in Medicaid enrollment with a year-over-year increase of over 25%. The main driving factor in this increase is that Virginia expanded Medicaid enrollment beginning January 1, 2019. This allowed many individuals who had previously been in the coverage gap to get comprehensive medical insurance.

StateMedicaid 2018Medicaid 2019Total Medicaid enrollment change
National74,190,25072,934,962-1.69%
Alaska207,337218,9725.61%
Alabama910,213915,5750.59%
Arkansas893,658878,337-1.71%
Arizona1,679,2391,702,7391.40%
California12,147,51311,824,373-2.66%
Colorado1,331,9711,278,581-4.01%
Connecticut843,388863,0512.33%
District of Columbia258,485259,3760.34%
Delaware247,062248,2030.46%
Florida4,252,1134,169,912-1.93%
Georgia1,862,4521,837,180-1.36%
Hawaii345,012329,868-4.39%
Iowa677,885694,2472.41%
Idaho269,430272,5891.17%
Illinois2,972,1752,815,518-5.27%
Indiana1,459,7921,467,8640.55%
Kansas393,968371,638-5.67%
Kentucky1,252,6001,208,019-3.56%
Louisiana1,458,8731,394,751-4.40%
Massachusetts1,674,0651,574,046-5.97%
Maryland1,328,1601,320,216-0.60%
Maine268,784260,230-3.18%
Michigan2,373,4212,334,794-1.63%
Minnesota1,085,1001,050,235-3.21%
Missouri953,303863,688-9.40%
Mississippi635,933621,816-2.22%
Montana280,169277,567-0.93%
North Carolina2,098,9012,084,268-0.70%
North Dakota94,87190,593-4.51%
Nebraska250,249247,318-1.17%
New Hampshire187,165180,751-3.43%
New Jersey1,799,0281,728,825-3.90%
New Mexico744,752731,467-1.78%
Nevada644,223632,525-1.82%
New York6,508,1996,536,8650.44%
Ohio2,775,4392,654,102-4.37%
Oklahoma786,601779,662-0.88%
Oregon975,183987,7181.29%
Pennsylvania2,974,2992,974,2640.00%
Rhode Island312,463303,377-2.91%
South Carolina1,043,5341,035,554-0.76%
South Dakota118,409116,411-1.69%
Tennessee1,512,1181,453,895-3.85%
Texas4,398,2264,231,596-3.79%
Utah300,717308,7882.68%
Virginia1,041,4811,305,39225.34%
Vermont165,999156,170-5.92%
Washington1,751,5431,715,989-2.03%
Wisconsin1,037,0331,038,2320.12%
West Virginia547,097529,788-3.16%

Child Health Insurance Program (CHIP)

The Child Health Insurance Program (CHIP) is an insurance program that provides low-cost health care to children in families whose household income is too high to qualify for Medicaid but not high enough to purchase private health insurance. Furthermore, CHIP is available for pregnant women who have a household income up to 185% of the federal poverty level.

Child Health Insurance Program (CHIP) enrollment increased over 2% for the 2019 policy year. The largest change in enrollment can be seen in Tennessee, which saw a year-over-year drop of 28% in total CHIP enrollment. This drop in enrollment was primarily due to an enrollment system change in Tennessee that ended up removing coverage for over 21,000 children under 18 years old.

StateCHIP 2018CHIP 2019Total CHIP enrollment change
National6,517,4416,660,1122.19%
Alaska13,29815,44816.17%
Alabama178,016172,620-3.03%
Arkansas83,00189,6688.03%
Arizona99,702103,1413.45%
California1,316,7811,314,445-0.18%
Colorado90,31183,508-7.53%
Connecticut18,05519,6758.97%
District of Columbia13,25416,81626.87%
Delaware10,97011,2382.44%
Florida208,107235,33213.08%
Georgia203,407212,3904.42%
Hawaii24,67625,5913.71%
Iowa69,60473,5495.67%
Idaho24,43626,2127.27%
Illinois226,971260,48914.77%
Indiana110,087112,7572.43%
Kansas53,03655,1764.03%
Kentucky83,49987,6414.96%
Louisiana126,095139,31610.48%
Massachusetts180,664186,7073.34%
Maryland150,033154,7623.15%
Maine9,76810,76910.25%
Michigan56,12061,84110.19%
Minnesota1,3341,256-5.85%
Missouri30,56932,3195.72%
Mississippi77,94176,656-1.65%
Montana25,94529,61714.15%
North Carolina245,833268,8049.34%
North Dakota2,0672,1212.61%
Nebraska33,88934,2791.15%
New Hampshire14,40614,9293.63%
New Jersey212,182218,3732.92%
New Mexico37,70736,938-2.04%
Nevada40,97440,609-0.89%
New York611,872658,8267.67%
Ohio216,216202,796-6.21%
Oklahoma119,904121,1501.04%
Oregon125,805128,8062.39%
Pennsylvania178,039182,9712.77%
Rhode Island29,88630,7592.92%
South Carolina86,73689,9803.74%
South Dakota16,14415,775-2.29%
Tennessee76,53255,330-27.70%
Texas629,245585,620-6.93%
Utah45,86241,966-8.50%
Virginia139,073144,4493.87%
Vermont4,6754,639-0.77%
Washington60,85865,7057.96%
Wisconsin66,51068,7353.35%
West Virginia32,76232,9400.54%
Wyoming4,5844,6731.94%

Medicaid expansion

Under the Affordable Care Act (ACA), state Medicaid programs are allowed to expand their program's eligibility requirements to cover more low-income individuals. The provision of the ACA expands the income threshold to anyone with an income of less than 138% of the federal poverty level. As of 2019, 33 states have passed legislation that expands Medicaid. In the table below are the states that have and have not passed Medicaid expansion. For the beginning of 2019, Virginia and Maine expanded Medicaid coverage.

StateExpanded?
AlabamaNo
AlaskaYes
ArizonaYes
ArkansasYes
CaliforniaYes
ColoradoYes
ConnecticutYes
District of ColumbiaYes
DelawareYes
FloridaNo
GeorgiaNo
HawaiiYes
IdahoYes
IllinoisYes
IndianaYes
IowaYes
KansasNo
KentuckyYes
LouisianaYes
MaineYes
MarylandYes
MassachusettsYes
MichiganYes
MinnesotaYes
MississippiNo
MissouriNo
MontanaYes
NebraskaYes
NevadaYes
New HampshireYes
New JerseyYes
New MexicoYes
New YorkYes
North CarolinaNo
North DakotaYes
OhioYes
OklahomaNo

Oregon
Yes
PennsylvaniaYes
Rhode IslandYes
South CarolinaNo
South DakotaNo
TennesseeNo
TexasNo
UtahYes
VermontYes
VirginiaYes
WashingtonYes
West VirginiaYes
WisconsinNo
WyomingNo

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