Our “Unwinding Watch” highlights key developments as states resume determinations on people’s Medicaid eligibility. Previously, the pandemic-related “continuous coverage” requirement safeguarded this coverage for millions of people.

As of April 1, 2023, states may begin ending coverage for people found ineligible or whose redetermination can’t be completed for procedural reasons. Start dates for this so-called “unwinding” process vary by state and states will take different amounts of time to redetermine their full caseloads.

States and consumer advocates prepared for unwinding , but coverage losses are growing, even among people still eligible. Unwinding Watch highlights key data and policy developments across the country.

For more information, see our “End of the Pandemic-Era Medicaid Continuous Coverage Requirement” resource page.