Coverage and Access Changes During Medicaid Unwinding

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Abstract
As part of the COVID-19 federal public health emergency, states paused Medicaid disenrollment in exchange for increased federal funding, allowing Medicaid beneficiaries to remain continuously enrolled without eligibility redeterminations.1 This policy was associated with record historic growth in Medicaid and the Children’s Health Insurance Program (CHIP), increasing from roughly 72 million in March 2020 to more than 92 million people by December 2022.2-6 In late 2022, Congress passed legislation to end the continuous coverage provision; states resumed eligibility redeterminations in early and mid 2023.7

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