At a time when most states are adding people to their Medicaid rolls, Missouri experienced the largest drop in Medicaid enrollment of any state in the U.S.
Missouri had an average of 808,824 individuals enrolled in its Medicaid program and the Children’s Health Insurance Program at the end of June. That’s down 37,260 people, or 4.4 percent, from the average enrollment a year earlier, according to a Department of Health and Human Services report.
Health policy experts called the development alarming.
States had the option under the Affordable Care Act to expand Medicaid to a larger swath of their populations. In states that chose to expand, enrollment increased by 18.5 percent. But even in those that didn’t expand the program, enrollment increased 4 percent.
Nebraska, which has a smaller Medicaid program, saw the largest negative percentage change, 5.06 percent, in enrollment. But it lost a smaller number of individuals, 12,383, from its Medicaid rolls.