CHIP

via Michigan House Democrats:

Xiong Announces Express Lane Health Enrollment for Eligible Michigan Kids

“Express Lane Enrollment” legislation would enact a streamlined health care enrollment process for eligible children and young adults under 21

LANSING, Mich., April 23, 2026 — State Rep. Mai Xiong (D-Warren) recently introduced legislation that would enact a streamlined enrollment process for children and young adults under 21 who may be eligible for Medicaid and health care programs administered through the Michigan Department of Health and Human Services (MDHHS). Xiong’s House Bill 5884 provides a common sense fix: Express Lane Eligibility (ELE), already authorized under federal law, which allows DHHS to use existing Supplemental Nutrition Assistance Program (SNAP) and Temporary Assistance for Needy Families (TANF) data to streamline Medicaid enrollment for kids and young adults.

Originally posted 10/08/26

Last month I ran a detailed analysis of the most comprehensive, up-to-date effectuated enrollment data for Medicaid, CHIP, Medicare & ACA exchange healthcare coverage changes since January 2025 (when Donald Trump returned to power).

All of the enrollment data was based on official reports via the Centers for Medicare & Medicaid Services (CMS) through May 2026 for Medicare, Medicaid & CHIP and through February 2026 for ACA exchange coverage. I included estimated ACA enrollment data for March, April & May 2026 by extrapolating the limited hard data I did have for about a dozen or so states out nationally, including both a lower- and upper-bound range.

My conclusion at the time was that from January 2025 through May 2026...

The Trump Regime has published an update to the official Medicaid/CHIP enrollment data:

April 2026 Key Findings

Medicaid and CHIP Enrollment

• In June 2026, 73.2 million individuals were enrolled in Medicaid and CHIP.
• 66.0 million individuals were enrolled in Medicaid, and 7.2 million individuals were enrolled in CHIP.
• 38.1 million adults were enrolled in Medicaid, and there were 35.0 million Medicaid child and CHIP enrollees.

Total Medicaid/CHIP enrollment in June 2026 dropped about 1.1% from May 2026, or another ~808,000 people.

Yesterday I wrote about the standard monthly Medicaid/CHIP enrollment report published by the Centers for Medicare & Medicaid Services (CMS). I noted that as of April 2026, total combined Medicaid & CHIP enrollment had fallen by another 398,000 people, to around 73.9 million Americans.

I also noted that this figure is nearly 5.1 million lower than it was as of January 2025...the same month that Donald Trump returned to the White House and Republicans took over all three branches of the federal government.

However, this, combined with my obsession over the lack of any updates to the official "monthly" ACA exchange effectuated enrollment report since it was first published back in July, inspired me to take a closer look at just how many people have lost healthcare coverage total since the Trump 2.0 regime took power.

The Trump Regime has published an update to the official Medicaid/CHIP enrollment data:

April 2026 Key Findings

Medicaid and CHIP Enrollment

• In April 2026, 73.9 million individuals were enrolled in Medicaid and CHIP.
• 66.7 million individuals were enrolled in Medicaid, and 7.1 million individuals were enrolled in CHIP.
• 38.5 million adults were enrolled in Medicaid, and there were 35.4 million Medicaid child and CHIP enrollees.

Total Medicaid/CHIP enrollment in April 2026 dropped about 0.5% from March 2026, or another ~398,000 people.

The Trump Regime has published an update to the official Medicaid/CHIP enrollment data:

March 2026 Key Findings

Medicaid and CHIP Enrollment

• In March 2026, 74.3 million individuals were enrolled in Medicaid and CHIP.
• 67.1 million individuals were enrolled in Medicaid, and 7.2 million individuals were enrolled in CHIP.
• 38.7 million adults were enrolled in Medicaid, and there were 35.6 million Medicaid child and CHIP enrollees.

Total Medicaid/CHIP enrollment in March 2025 dropped about 1.5% from February 2026, or over 1.1 million people.

A year and a half ago, just one day before Donald Trump was sworn in as President for the second time, I posted the a passage from near the beginning of George Orwell's 1984:

But actually, he thought as he re-adjusted the Ministry of Plenty’s figures, it was not even forgery. It was merely the substitution of one piece of nonsense for another. Most of the material that you were dealing with had no connexion with anything in the real world, not even the kind of connexion that is contained in a direct lie. Statistics were just as much a fantasy in their original version as in their rectified version. A great deal of the time you were expected to make them up out of your head.

For example, the Ministry of Plenty’s forecast had estimated the output of boots for the quarter at 145 million pairs. The actual output was given as sixty-two millions. Winston, however, in rewriting the forecast, marked the figure down to fifty-seven millions, so as to allow for the usual claim that the quota had been overfulfilled. In any case, sixty-two millions was no nearer the truth than fifty-seven millions, or than 145 millions.

The Trump Regime has published an update to the official Medicaid/CHIP enrollment data:

February 2026 Key Findings

Medicaid and CHIP Enrollment

• In February 2026, 74.9 million individuals were enrolled in Medicaid and CHIP.
• 67.7 million individuals were enrolled in Medicaid, and 7.2 million individuals were enrolled in CHIP.
• 39.2 million adults were enrolled in Medicaid, and there were 35.7 million Medicaid child and CHIP enrollees.

Total Medicaid/CHIP enrollment in December 2025 dropped about 1.2% from January 2026, or by around 918,000 people.

The Trump Regime has published an update to the official Medicaid/CHIP enrollment data:

January 2026 Key Findings

Medicaid and CHIP Enrollment

• In January 2026, 75.3 million individuals were enrolled in Medicaid and CHIP.
• 68.0 million individuals were enrolled in Medicaid, and 7.2 million individuals were enrolled in CHIP.
• 39.4 million adults were enrolled in Medicaid, and there were 35.9 million Medicaid child and CHIP enrollees.

Total Medicaid/CHIP enrollment in December 2025 dropped about 1.3% from December 2025, or by around 943,000 people.

The Trump Regime has published an update to the official Medicaid/CHIP enrollment data:

December 2025 Key Findings

Medicaid and CHIP Enrollment

• In December 2025, 75.7 million individuals were enrolled in Medicaid and CHIP.
• 68.5 million individuals were enrolled in Medicaid, and 7.2 million individuals were enrolled in CHIP.
• 39.7 million adults were enrolled in Medicaid, and there were 36.0 million Medicaid child and CHIP enrollees.

Total Medicaid/CHIP enrollment in December 2025 dropped about 1.0% from November 2025, or by around 727,000 people.