Medicaid Expansion Enrollment and Spending Leading up to the COVID-19 Pandemic

KFF January 12, 2021
Madeline Guth, Bradley Corallo, Robin Rudowitz, Rachel Garfield

Key Takeaways

Medicaid enrollment has increased during the coronavirus pandemic, a trend that likely reflects adverse economic effects of the pandemic (including increased job and income loss) as well as continuous coverage requirements from the Families First Coronavirus Response Act. This issue brief analyzes enrollment and spending trends related to the Affordable Care Act’s Medicaid expansion ahead of the pandemic and examines potential consequences of recent enrollment increases. Key findings include:

• In FY 2019, the expansion group represented 20% of all Medicaid enrollment. In expansion states alone, the expansion group composed 28% of enrollment. The share of Medicaid enrollment represented by the expansion group varied across expansion states and was less than 50% of total enrollment in all these...

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