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MACPAC Updates (Medicaid hospital payment reports) · February 5, 2026 · Primary source

MACPAC Releases Latest Edition of MACStats: Medicaid and CHIP Data Book

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Summary

MACPAC released a new edition of the MACStats: Medicaid and CHIP Data Book, reporting that Medicaid and CHIP enrollment declined for the second consecutive year following the expiration of the continuous coverage requirement enacted during the COVID-19 public health emergency. The data book provides updated national and state-level enrollment figures for Medicaid and CHIP. MACPAC is a nonpartisan congressional advisory commission with statutory responsibilities under the ACA.

What this may mean

The enrollment decline data document the ongoing unwinding of pandemic-era Medicaid enrollment expansions, a trend with direct implications for state Medicaid managed care contract volumes, capitation rate adequacy, and the financial footing of entities serving Medicaid-dependent populations. The data book does not impose any new regulatory obligation but provides baseline evidence MACPAC and Congress use to inform future Medicaid legislation and CMS rulemaking.

Informational only. Not legal, medical, financial, or other professional advice. Always consult a qualified professional familiar with your specific facts before relying on any item.

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