Introduction
Medicaid is and will continue to play a central role in the nation’s response to the COVID-19 pandemic with respect to both the health crisis and the ensuing economic crisis. With unemployment rapidly rising to double digits and workers (and their spouses and dependent children) losing their employer-sponsored insurance, it has been widely expected that Medicaid/CHIP enrollment would increase. Medicaid enrollment has long been closely aligned with the unemployment rate. Since national enrollment data for the same time period won’t be available until July, we examined publicly available state administrative data from 21 states.
March data did not yet show any clear signs of an enrollment surge despite the required freeze on disenrollment included in the Families First Coronavirus Response Act, which took effect on March 18th. April data, however, tell a different story.