When the pandemic began, Congress barred states from kicking people off Medicaid in exchange for additional federal funding. Enrollment surged nearly 20 percent over the next 16 months to 76.7 million, an all-time high. But state audits that happen when the health crisis is declared "over" could lead to as many as 15 million people, including 6 million children, losing their health insurance, according to an analysis from the Urban Institute.Now, states fear that winding down the expanded social safety net could prove messy — as many of the millions removed from the rolls may not know they’ve lost their health insurance or which options are available for new coverage. Megan Messerly reports.

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