The Trump Regime has published an update to the official Medicaid/CHIP enrollment data:

August 2025 Key Findings

Medicaid and CHIP Enrollment

  • In August 2025, 77.3 million individuals were enrolled in Medicaid and CHIP.
  • 70.1 million individuals were enrolled in Medicaid, and 7.2 million individuals were enrolled in CHIP.
  • 40.4 million adults were enrolled in Medicaid, and there were 36.9 million Medicaid child and CHIP enrollees.

Medicaid and CHIP Applications Received

The Centers for Medicare & Medicaid Services just published updated enrollment data for Medicare, adding July and August 2025 to the data archive.

Whether the data posted since January 20, 2025 is accurate or not, I can't say for certain, but at least they're updating it...and so far, at least, I don't see anything in their monthly reports which is setting off any obvious red flags.

In any event, according to the latest report, as of August 2025:

  • Total Medicare beneficiaries are up to 69.3 million (up ~86K month over month)
  • Traditional/FFM Medicare beneficiaries are at 33.79 million (down ~31K m/m)
  • Medicare Advantage beneficiaries reached 35.49 million (up ~55K m/m)
  • 11.73 million Medicare enrollees (around 16.9% of the total) were "Dual Eligibles"...that is, enrolled in both Medicare and Medicaid.

The only number which seems odd is the 375K drop in Dual Eligibles...I'm not sure what to make of that.

Past Due Podcast

I recently joined Ana Marie Cox & Open Mike Eagle on the Past Due Podcast to discuss the how to deal with this year's crazy ACA Open Enrollment Period. Tune in!

 

(with apologies to "Weird Al" Yankovic)

Yesterday, Politico reported that the Trump 2/3 White House was planning on rolling out his own counterproposal to Democrats demand that the enhanced ACA tax credits (which are still scheduled to expire just 36 days from now) be extended (preferably permanently, but at the bare minimum by at least a few years).

According to the Politico story, the Trump proposal supposedly included the following provisions:

Via Politico this morning, a mixed bag of good & bad news on the enhanced ACA tax credit saga today:

The White House expects to soon unveil a health policy framework that includes a two-year extension of Obamacare subsidies due to expire at the end of next month and new limits on eligibility, according to three people granted anonymity to discuss the unannounced plans.

...The White House plan is expected to include new income caps for enrollees to qualify for the ACA tax credits as well as minimum premium payments, according to the two people with direct knowledge of the proposal.

The planned eligibility cap would limit the subsidies to individuals with income up to 700 percent of the federal poverty line — aligning with what a bipartisan group of senators have been discussing separately, according to a fourth person granted anonymity to share knowledge of the negotiations.

Back in September, before the federal government shutdown, I said:

At a bare, bare minimum, do not settle for a one- or two-year extension of the eAPTCs.

Kicking this particular can down the road for only one or two years would not only be an absolute gift to Republicans politically (since it would push the pain out until just past the midterms, which is of course the only reason why any Republicans are willing to discuss doing so at all), but it would also mean we'd be right back here with the exact same scary headlines a year or two from now, with 24 million people never knowing whether their health insurance premiums are going to skyrocket from year to year.

Nothing is worse for the insurance industry than uncertainty, and anytime they're uncertain about anything you can be sure they'll jack up rates as a "just in case" cushion.

CoverME, Maine's ACA exchange, is the second state after New Mexico to publish official 2026 Open Enrollment data:

The Maine Department of Health and Human Services (DHHS) Office of the Health Insurance Marketplace (OHIM) will release biweekly updates on plan selections through CoverME.gov, Maine’s Health Insurance Marketplace.  

Plan selections provide a snapshot of activity by new and returning consumers who have selected a plan for 2026. “Plan selections” become “enrollments” once consumers have paid their first monthly premium to begin coverage. These numbers are subject to change as consumers may modify or cancel plans after their initial selection.   

The deadline to select a plan for coverage beginning January 1, 2026 is December 15, 2025. Consumers who select a plan between December 16, 2025 and January 15, 2026 will have coverage beginning February 1, 2026. 

In my post about the U.S. Senate vote to end the federal government shutdown last week, I concluded that:

I'll have a lot more to say about this "HSAs for All" silliness which Trump & Sen. Cassidy are suddenly pitching, but in the meantime, whether you think 8 of them voting for the CR Sunday night was the right thing to do or not, once they did so, shifting the national dialogue back to healthcare policy (where Dems are strongest and Republicans are weakest) and the Epstein Files is probably the best outcome Democrats could've realistically hoped for from that point forward.

Almost every day since the, various Republican House & Senate members have underscored my point:

GOP Rep. Tom Emmer of Minnesota:

The Trump Regime has published an update to the official Medicaid/CHIP enrollment data:

July 2025 Key Findings

Medicaid and CHIP Enrollment

  • In July 2025, 77.6 million individuals were enrolled in Medicaid and CHIP.
  • 70.4 million individuals were enrolled in Medicaid, and 7.2 million individuals were enrolled in CHIP.
  • 40.6 million adults were enrolled in Medicaid, and there were 36.9 million Medicaid child and CHIP enrollees.

Medicaid and CHIP Applications Received

via MNsure, Minnesota's ACA exchange:

ST. PAUL, Minn.—MNsure, Minnesota’s official health insurance marketplace, assures UCare members that their health plans through MNsure will not change in coverage or cost for plan year 2026.

Medica has announced a definitive agreement to acquire individual and family health plans from UCare, a Minnesota-based nonprofit health plan. This is a change for the individual market, but MNsure assures consumers that their coverage remains unchanged and will not be interrupted.

For consumers who are currently enrolled in a 2025 UCare private plan:

  • There are no changes to coverage.
  • They can continue to access care as usual.
  • As long as they have paid their premiums, current coverage goes through December 31, 2025.

For consumers who have selected a 2026 UCare private plan through MNsure:

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