CHIP
is a federal-state partnership program that provides health coverage options for children whose families earn too much to qualify for Medicaid but too little to afford marketplace or other coverage. To learn more about how CHIP serves children in each state, read the State CHIP Snapshots.
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How are H.R. 1 Cuts and Changes to Medicaid and SNAP Playing out in 2026 State Legislative Sessions So Far?
Following the enactment of the largest Medicaid cuts in history, we anticipated a flurry of Medicaid activity in state legislative sessions. State legislators were left to fill the budget holes made by H.R.1, figure out how to implement H.R.1-mandated policies like work reporting requirements, and (hopefully) mitigate some of the associated coverage losses. Ten state…
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Prenatal Care: The Silent Maternal Health Emergency Hidden in New CDC Data
A new report from the Centers for Disease Control and Prevention (CDC) offers a look at concerning new trends in prenatal care access. From 2021-2024, prenatal care initiated during the first trimester of pregnancy declined, while those receiving care later or no prenatal care increased, as shown below. The share of pregnant women who received…
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State by State Medicaid and CHIP Enrollment Data
This tracker shows enrollment data for Medicaid and the Children’s Health Insurance Program (CHIP) in all 50 states and DC, from January 2025 to the most recent month available. Data include total Medicaid/CHIP enrollment, as well as enrollment for children, adults, and Medicaid expansion. Historical data are also included to provide additional context for state…
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Critical Threats to Child and Family Health Intensify in 2026: Here is What We are Watching at CCF
The policy landscape for child and family health has undergone a dramatic transformation following the passage of H.R. 1, the budget reconciliation bill known as the One Big Beautiful Bill Act, and related policy changes enacted during the first year of the Trump administration. As we enter the second year of this administration, the Georgetown…
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Congress Reauthorized the SUPPORT Act, Now Comes the Hard Part
On December 1, President Trump signed into law the SUPPORT for Patients and Communities Reauthorization Act of 2025, extending a number of substance use disorder (SUD) prevention, treatment, and recovery programs through fiscal year 2030. The bipartisan bill—which passed the House 366-57 in June and the Senate by unanimous consent in September—reauthorizes critical programs including…





