When the Affordable Care Act of 2010 is fully implemented, it will extend health insurance coverage to many adult Americans who currently lack it. It is not known, however, how the health reform legislation will affect children and parents who would otherwise be uninsured. Based on this analysis, health reform has the potential to cut the number of uninsured children by about 40 percent, from 7.4 million to 4.2 million, and the number of uninsured parents by almost 50 percent, from 12.7 million to 6.6 million. However, the actual impact will depend on increasing the share of children and parents who are enrolled in public coverage and on other implementation outcomes. Most strikingly, if the requirement that states continue their Medicaid and CHIP coverage is rescinded and if Congress does not continue funding CHIP, the uninsurance rate of children could more than double, increasing from 4.2 million to 7.9-9.1 million children. In that case, the uninsurance rate among children would be higher than if the Affordable Care Act had not been adopted.
- The ACA has the potential to cut the number of uninsured children by 40%. (Source:Improving Coverage for Children Under Health Reform)
- The ACA has helped maintain or improve access to preventive services for 54% of children. (Source: ACA Protects and Improves Access to Preventive Care for Children)
- 47 states have applied for or received increased federal funds to make major upgrades to Medicaid enrollment systems (Source: Getting Into Gear for 2014)
- In 2012, 92.8% of children in the United States had health insurance coverage. (Source: Children's Health Coverage on the Eve of the Affordable Care Act)
- In January 2014, eligibility levels for parents and childless adults will significantly increase in the 26 states, including DC, that are expanding Medicaid to adults. (Source: New! Getting Into Gear for 2014)