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Wednesday, Jul. 2, 2025

Have millions of nondisabled, working-age adults been added to Medicaid?

Tom Kertscher / Wisconsin Watch, Wisconsin Watch

yes

Millions of nondisabled working-age adults have enrolled in Medicaid since the Affordable Care Act expanded eligibility in 2014.

Medicaid is health insurance for low-income people.

The nonpartisan Congressional Budget Office estimated that in 2024, average monthly Medicaid enrollment included 34 million nonelderly, nondisabled adults – 15 million made eligible by Obamacare.

Two smaller estimates used U.S. Census survey data.

The White House Council of Economic Advisers said there were 27 million nondisabled working-age (age 19-64) Medicaid recipients in 2024.

That’s similar to the 26 million for 2023 estimated by the nonpartisan health policy organization KFF. That figure includes people who are disabled.

KFF said 44% worked full time and 20% part time, many for small companies, and aren’t eligible for health insurance.

Medicaid costs nearly $900 billion annually, two-thirds from the federal government, one-third from the states.

Forty states, excluding Wisconsin, adopted the Obamacare Medicaid expansion.Congress is considering President Donald Trump’s proposal adding work requirements for Medicaid.

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