Medicaid enrollment
In 2023, Medicaid covered an estimated 22.6% of the insured population in Lenawee County (see Figure 14), while it covered 24.2% overall in Michigan (Center for Children & Families, 2025). The Budget Reconciliation Act included federal cuts to Medicaid in addition to changing eligibility requirements that will take effect January 1st, 2027. In May 2025, the founder of ComForCare, an in-home provider that serves Jackson, Hillsdale, and Lenawee Counties, shared with news outlets that they considered turning away Medicaid users because of the anticipated Medicaid budget cuts (Udrys, 2025). The Michigan Department of Health and Human Services estimates that more than 500,000 Michiganders will lose coverage due to the new eligibility requirements (Johns Hopkins Bloomberg School of Public Health, 2025)). Furthermore, American Hospital Association (AHA) estimates 68,200 rural residents in Michigan are expected to lose Medicaid coverage through the year 2034 (2025).
Figure 14. Percentage of Medicaid coverage rates, all populations enrolled, selected counties and Michigan
Resources
- American Hospital Association. (2025, June 16). Rural hospitals at risk: Cuts to Medicaid would further threaten access Fact sheet. American Hospital Association. https://www.aha.org/fact-sheets/2025-06-13-rural-hospitals-risk-cuts-medicaid-would-further-threaten-access Bradley, J., Brugger, C., & Nagle, F. (2019). Building a trauma-informed Lenawee. https://www.lcmha.org/providermeeting/building_a_trauma_informed_lenawee2019.pdf
- Center for Children & Families (CCF). (2025, February 6). Medicaid Coverage in Michigan Counties, 2023. Center for Children & Families, McCourt School of Public Policy at Georgetown University. https://ccf.georgetown.edu/2025/02/06/medicaid-coverage-in-michigan-counties-2023/
- Johns Hopkins Bloomberg School of Public Health. (2025, July 30). How New Federal Legislation Will Affect Health Care Costs and Access for Americans. https://publichealth.jhu.edu/2025/the-changes-coming-to-the-aca-medicaid-and-medicare
- Udrys, D. (2025, May 4). Medicaid soon may not be enough for in-home care, says Jackson-Hillsdale-Lenawee provider. FOX 47 News Lansing - Jackson (WSYM). https://www.fox47news.com/neighborhoods/jackson-hillsdale/medicaid-soon-may-not-be-enough-for-in-home-care-says-jackson-hillsdale-lenawee-provider
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