U.S. Census Bureau

Yesterday I wrote about the standard monthly Medicaid/CHIP enrollment report published by the Centers for Medicare & Medicaid Services (CMS). I noted that as of April 2026, total combined Medicaid & CHIP enrollment had fallen by another 398,000 people, to around 73.9 million Americans.

I also noted that this figure is nearly 5.1 million lower than it was as of January 2025...the same month that Donald Trump returned to the White House and Republicans took over all three branches of the federal government.

However, this, combined with my obsession over the lack of any updates to the official "monthly" ACA exchange effectuated enrollment report since it was first published back in July, inspired me to take a closer look at just how many people have lost healthcare coverage total since the Trump 2.0 regime took power.

Yesterday the U.S. Census Bureau published new reports on Income, Poverty and Health Insurance Coverage in the United States as of 2022. Obviously all three of these are extremely important and interact closely with each other, but given that my focus is healthcare policy, I'm going to stick with the health insurance coverage portion.

According to the 2023 Current Population Survey Annual Social & Economic Supplement (CPS ASEC):

...92.1% of the U.S. population had health insurance coverage for all or part of 2022 (compared to 91.7% in 2021). An estimated 25.9 million or 7.9% of people did not have health insurance at any point during 2022, according to the 2023 Current Population Survey Annual Social and Economic Supplement (CPS ASEC). That compares to 27.2 million or 8.3% of people who did not have health insurance at any point during 2021.

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