Medicaid Unwinding – Pushing Policymakers to Protect Families

Documenting Major Gaps in States Medicaid “Unwinding” Performance that Threaten Immigrants and their Family Members

This report includes the findings from a September 14 to October 16, 2023 survey of state advocates and community based organizations in 28 states. PIF found major gaps in how their states were addressing immigrant concerns, providing language access, publicly reporting data and engaging stakeholders in the unwinding renewal process. The report provides states with grades for their performance on each of these approaches.

Read the Findings Summary

Letter Urging the Center for Medicare & Medicaid Services (CMS) to Hold States Accountable for Improving Medicaid Renewals for Immigrants and their Family Members

40 Members of the Protecting Immigrant Families Coalition’s Steering Committee and Medicaid Unwinding Task Force signed this letter urging CMS to pause Medicaid “unwinding” in states that are out of compliance with federal law and policies. Medicaid eligibility determination processes in these states fail to address known barriers that could lead to eligible people in immigrant families losing Medicaid coverage. The letter asks CMS to use its authority to ensure that states:


Attached to the letter is a memo with more detailed asks and justifications.

Read the Letter and Memo

Press Release

Read the Press Release

Webinar Slideshow

PIF held a webinar with more than 300 participants in December 2023, walking through survey findings and recommendations for state and federal officials. Partners from Kansas, Massachusetts, and Tennessee also shared the Medicaid unwinding experiences of immigrant families in their states.

View the Slides