Core Insights - Texas has removed over 1 million children from Medicaid and CHIP, with a disenrollment rate of 27% from March 2023 to June 2025 [1][3] - The federal mandate requiring continuous enrollment during the COVID-19 pandemic expired in March 2023, allowing states to disenroll individuals [2] - Texas leads the nation in disenrollment, with nearly 1.8 million individuals rolled off Medicaid [3] Impact on Families - It is uncertain whether the disenrolled children have accessed alternative health insurance, with some potentially remaining uninsured for extended periods [3] - The Texas Health and Human Services Commission transfers ineligible individuals' information to the Marketplace for assessment of other coverage options [3] - Losing health coverage is associated with disruptions in care, leading to delayed treatment and increased emergency room visits [4]