The number of people enrolled in Medicaid decreased in 22 states after new documentation requirements for enrollment were put into place. The law, which took effect on July 1, requires enrollees to provide evidence of citizenship and nationality. The Government Accountability Office conducted the survey.
The GAO believes that most of the drop-off is caused by those who are eligible for coverage, not illegal immigrants, as originally believed. Furthermore, most of the states that faced a decline in the Medicaid rolls said the decline affected eligible citizens and was due to delays in coverage or a loss of coverage.
Twelve states said the new requirements did not affect enrollment, and another 10 states did not know if the new documentation law had an impact on enrollment.
The new documentation requirements are expected to save the federal government and the states approximately $90 million this year.