Reviewing changes in the Medicaid caseload for 1995-1997, the authors find that the number of adults and children on Medicaid fell 10.6 percent and 2.7 percent respectively, the number of aged stayed roughly constant, and the number of people with disabilities rose by 7.9 percent. Data from the Current Population Survey indicates that Medicaid participation continued to drop between 1997-98. Uninsurance rates for immigrants rose by 5 percent. The national data obscure large differences across states.