Top 10 States by Absolute Decline in Child Medicaid/CHIP Enrollment

Percentage Decline   Absolute Decline  

Last updated: May 2026.
The table reflects most recent available figures by state - February (Texas, Florida, Georgia), March (California), April (Indiana, Ohio, Kentucky) and May 2026 (Illinois, Arizona, Virginia) - compared to January 2025.
Source: Georgetown University Center for Children and Families analysis of state administrative enrollment data and Centers for Medicare & Medicaid Services State Medicaid and CHIP Applications, Eligibility Determinations, and Enrollment Data. CCF uses the most recent publicly available state administrative data in 29 states and substitutes CMS enrollment data in the remaining 22 states. See source document for more information. Download image