Beginning April 1, 2023, states may resume Medicaid redeterminations and terminations of coverage for those no longer eligible. As recognized by the Center on Budget and Policy Priorities, it is estimated that as many as 18 million individuals could lose Medicaid coverage because they no longer meet Medicaid eligibility requirements or fail to complete the redetermination process.

Although many individuals may qualify for other types of insurance coverage, patients with serious mental illness (SMI) and substance use disorders (SUDs) are expected to be particularly affected by this.