New Orleanians face a rapidly changing healthcare landscape and increasing barriers to care:
- Louisiana’s new Quarterly Wage checks went into effect in 2025, dropping 25,000 people from the rolls in one year.
- Federal HR 1 changes to Medicaid, including more frequent eligibility checks and workers’ requirements, will go into effect Jan 1, 2027.
- Marketplace subsidies expired at the end of 2025, causing premiums to skyrocket and prompting many people to go without insurance coverage because of unaffordable costs.
- 69,000 Louisianans ended their Marketplace plans from January – June 2026 or 1 in 4 enrollees statewide.
- UnitedHealthCare’s state Medicaid contract ended, leaving thousands of patients unsure of their coverage status. The 2027 Medicaid contracting period may results in more shifts for Medicaid members and more confusion.
Increased verifications and eligibility checks mean more paperwork, more confusion, more people losing coverage even when they are eligible for benefits, and more disruptions to care.

504HealthNet’s Get Connected, Stay Connected campaign encourages residents of the Greater New Orleans’ Region to take steps to Get Connected and Stay Connected to care through our network of trusted community clinics.
Get Connected, Stay Connected Campaign Toolkits
Get Connected, Stay Connected Community Toolkit (English) [Download PDF]
Get Connected, Stay Connected Community Toolkit (Spanish) [Coming Soon]
Get Connected, Stay Connected Community Toolkit (Vietnamese) [Coming Soon]
Get Connected, Stay Connected 504HealthNet Member Toolkit (504HN Members) [Access Template]

Keep Track of the Changes: Resources & Toolkits
- LA Wage Checks (504HN toolkit)
- Medicaid Work Requirements (LDH toolkit & Work Requirements landing page)
- Medicaid Eligibility Changes for Immigrants (LDH Application Center Presentation July 15, 2026 (pg 12-16)
- Marketplace Navigators for a Healthy Louisiana: Coverage help by situation (AHEC resources)
- CARE Coalition Dashboard of Medicaid enrollment trends (CARE Dashboard)
- What Community Health Centers & Patients need to know (NACHC Medicaid Resources)
