Iowa
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Uninsured Rate for Young Children Rose More Sharply than for Older Children from 2022-2024
Key Findings The number of infants, toddlers and preschoolers who are uninsured is at the highest level in nearly a decade and is increasing more sharply than for older children. The number of uninsured children under age 6 grew by 23% between 2022 and 2024, while the number of uninsured school-aged children grew by 17%. The charts and appendix…
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Tracking Iowa Implementation of H.R. 1 Medicaid Work Reporting Requirements
Medicaid Enrollment Trends The CCF Enrollment Tracker uses the most recent monthly administrative data from state websites and the Centers for Medicare & Medicaid Services (CMS). State administrative data is often the quickest way to assess what is happening in a state’s Medicaid program. Iowa posts monthly state administrative data, including Medicaid enrollment. Timely administrative…
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Is Your State Leaving Money on the Table? How CHIP Health Service Initiatives Can Help States Support Children’s Access to Care
At a time when states are facing growing fiscal pressures and increasing strain on health systems, the Children’s Health Insurance Program (CHIP) Health Services Initiatives (HSIs) represent an often overlooked source of federal funding offering flexible financing to support outreach and targeted health initiatives to improve children’s health. This source of federally-matched funding becomes increasingly…
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Community Health Workers are a Focus of Rural Health Transformation Applications
Awards for the Rural Health Transformation (RHT) program were released on December 29, 2025, and state applications with proposals for the funds have been made public, covering a range of activities aiming to increase access to care, develop infrastructure, and enhance workforces. As we’ve written about previously, community health workers (CHWs) are a critical workforce…
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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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How Would Changes to Federal Medicaid Expansion Funding Impact People in “Trigger” States and Those with Expansion Enshrined in State Constitutions?
Congress is currently considering draconian cuts to Medicaid that would mean millions of low-income Americans lose access to affordable health care. But both the type of federal cuts and how the joint state-federal Medicaid program operates in each state mean that the impact on people living in different states would vary considerably. The major difference…
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Medicaid’s Role in Small Towns and Rural Areas
Key Findings Background One-fifth of people in the United States live in areas that are classified as non-urban. Residents of rural areas and small towns face additional challenges accessing needed health services compared to residents of metro areas for a variety of reasons including acute provider shortages, limited connectivity, and long distances to travel to…
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Federal Funding Cuts to Medicaid May Trigger Automatic Loss of Health Coverage for Millions of Residents of Certain States
Despite virtually no discussion of Medicaid during the election, Medicaid is facing proposals for significant reductions in federal funding. My colleague Edwin Park has already detailed some of the discussion around these cuts – which are being considered in service of facilitating an extension of tax breaks, the majority of which would go to the…
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Postpartum Coverage and Benefits Key, But Merely the Start of Needed Medicaid Work to Address Maternal Health Crisis
Federal and state leaders have prioritized maternal health in Medicaid in recent years with welcome (if overdue) attention. As Say Ahhh! readers know, the new state option to extend postpartum coverage to 12 months for all pregnant women in Medicaid has been adopted or is in progress in all but two states (AR and WI)…
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CMS Releases Updated Medicaid & CHIP Telehealth Toolkit, Includes State Best Practices and Behavioral Health Strategies
This month, CMS released an updated State Medicaid and CHIP Telehealth Toolkit consolidating information from previous toolkits and providing additional guidance – as required by the Bipartisan Safer Communities Act – on issues from billing best practices to strategies for using telehealth in schools. In addition to FAQs on issues such as benefit flexibility, financing,…
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Medicaid Managed Care, Maternal Mortality Review Committees, and Maternal Health: A 12-State Scan
Download the Full Report Introduction The United States is in the midst of an ongoing maternal mortality crisis and Medicaid, the health insurer for low-income Americans, has an important role to play in addressing it. Medicaid is the nation’s single largest maternity care insurer, paying for more than 40% of all births on average across all states,…
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State Medicaid and CHIP Snapshots, 2023
The Georgetown University Center for Children and Families (CCF) and the American Academy of Pediatrics (AAP) created factsheets underscoring the importance of Medicaid in providing coverage for children in all 50 states and the District of Columbia. Sources available here. Previous snapshots can be found here (2019), here (2018) and here (2017). Check out more interactive…
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New Urban Institute Estimates of 1.7 Million More Uninsured Children if Supreme Court Overturns Affordable Care Act
On Tuesday, November 10, the Supreme Court will hear oral arguments for California v. Texas, a case in which a group of conservative attorneys general led by the Texas Attorney General and the Trump Administration are seeking to overturn the entire Affordable Care Act (ACA). Researchers from the Urban Institute recently projected that the number…
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Iowa Families That Lose Health Insurance During Crisis Have Options
Public News Service Losing employer-provided health insurance is one of the side effects of the pandemic-driven economic crisis. That poses a big concern for Iowa families and their children, bit many do have options. It’s estimated that as many as 43 million Americans could lose their health insurance as a result of the pandemic… While…
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Rate of Iowa Kids Lacking Health Insurance Inches Up
KMA Land – Iowa News Service By: Roz Brown The number of Iowa children without health care insurance is slowing inching up – a red flag, according to children’s advocates who track the impact on families… Joan Alker, executive director of the Georgetown University Center for Children and Families, says the trend of fewer children having…
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2016 Maps
The interactive maps and data for 2016 provide information on the percent of adults and children covered by Medicaid and/or CHIP.You can embed these maps on your website by selecting a state on the left then copying the embed code on the right side of the map and pasting it into a post on your…
