Some Rhode Island Medicaid expansion adults face work-requirement reporting and six-month renewals starting in 2027, while HealthSource RI customers already saw average premiums rise 101% after enhanced federal credits expired. State assistance and Open Enrollment starting Nov. 1 offer some relief for eligible residents.
Young adults sit at the sharp end of two federal decisions: the Medicaid work requirement Congress wrote into a law enacted July 4, 2025, and the expiration of the enhanced Affordable Care Act premium tax credits at the end of 2025. New national modeling suggests the combined toll on that generation could be steep, and Rhode Island is now less than three months from the date the Medicaid rules are scheduled to bite.
As many as 3.4 million young adults could lose health insurance by 2028, according to a summary of two Urban Institute analyses that the Annie E. Casey Foundation published Thursday. That headline number adds Urban’s high-end estimate of Medicaid losses, 2.3 million, to the Casey summary’s estimate of 1.1 million fewer young adults with subsidized Marketplace coverage. Both are projections for 2028, not counts of people who have already lost anything…