LA Medicaid Unwinding and Work Requirements
Key Questions
What is the current Medicaid enrollment trend in Louisiana?
Medicaid enrollment in Louisiana has dropped below 1.5 million as of February 2026. This decline is driven by work requirements and reverifications, particularly impacting Native populations and risking reimbursements or closures for FQHCs.
How have work requirements and reverifications affected FQHCs in Louisiana?
Work requirements and reverifications have increased uninsured rates at FQHCs to 11%. These measures have disproportionately hit Native communities, threatening FQHC reimbursements and potential closures.
What impact are proposed Medicaid cuts and immigration checks having in Louisiana?
Trump administration immigration checks have resulted in few disenrollments due to low fraud rates. Speculation around $900 billion in Medicaid cuts puts LA hospitals at risk, while boosting uninsured patient volume at FQHCs.
Enrollment below 1.5M (Feb 2026), FQHC uninsured to 11%; work reqs/reverifs hit Natives, risking reimbursements/closures. Trump immigration minimal impact; $900B cuts speculation boosts FQHC uninsured; states hike MCO taxes (e.g., IA 3.5%) to offset H.R.1—watch LA for reimbursement flatness.