In July 2012, the State of Wisconsin imposed new restrictions on provisions on parents and childless adults with incomes above 150% of the Federal Poverty Line, a group which is required to pay monthly premiums.  These restrictions prevented adults who disenrolled for failure to pay premiums from re-enrolling for a 12-month period.  This study uses both administrative enrollment and claims data from Wisconsin’s Medicaid system and a direct survey of continuously enrolled and disenrolled Medicaid participants to assess the impacts of this policy on the use of care and medical expenditures.