State Medicaid officials anticipate sharp enrollment declines and increases in state spending on Medicaid as pandemic-era policies further unwind, according to a KFF survey. Medicaid enrollment spiked to nearly 95 million Americans — an increase of more than 23 million people— between February 2020 and this April because of pandemic-related rules. In exchange for enhanced federal fund-matching, states couldn’t kick anybody off the program. But since those protections began ending this year, enrollment has slowed. The survey projected national Medicaid enrollment will decline by 8.6 percent in fiscal 2024, as states keep removing ineligible people from their Medicaid rolls.
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