The Georgetown University Center for Children and Families reports that total Medicaid and CHIP enrollment declined by approximately 3.3 million people (4.0%) in 2025, marking the third consecutive year of losses following the pandemic-era "unwinding." This downward trend occurred despite a modest rise in unemployment and is expected to worsen as states prepare for H.R. 1, which introduces mandatory work reporting requirements and more frequent renewals starting as early as mid-2026. The report highlights a "chilling effect" among mixed-status families and significant child enrollment drops in states like Alaska and Indiana, prompting the launch of a new state-by-state tracker to monitor these early warning signs of a rising uninsured rate.

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