Adults ages 50 to 64 (“midlife adults”) make up 12 percent of the Medicaid population. Midlife adult Medicaid enrollees are racially and ethnically diverse, although this age group is more homogeneous than the total Medicaid population. States that expanded Medicaid as part of the Affordable Care Act enrolled an average of 22 percent of the midlife adult population in Medicaid, whereas states that did not expand Medicaid enrolled an average of only 10 percent. Nearly three-quarters of midlife adult Medicaid enrollees live in urban areas, although variation exists in expansion and nonexpansion states. Midlife adults who are dually enrolled in Medicaid and Medicare, most often due to a disability or chronic disease, make up nearly half of midlife Medicaid enrollees in nonexpansion states. As a result, midlife Medicaid enrollees in nonexpansion states may be sicker and require more care than midlife enrollees in expansion states.
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