North Dakota
-
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…
-
Tracking North Dakota 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. North Dakota posts monthly state administrative data, including Medicaid enrollment. Timely…
-
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…
-
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…
-
Are States Ready to Implement HR 1 and Medicaid Work Reporting Requirements?
Key Findings Introduction On July 4, 2025, President Trump signed into law HR 1 (P.L. 119-21), the massive budget reconciliation bill that cuts more than $1 trillion from Medicaid and Marketplace health coverage. The law strips coverage from many lawfully residing immigrants, ties the hands of states to raise revenue to cover the state share…
-
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…
-
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…
-
The Proper Use of Medicaid Improper Payment Rates
For the first time, CMS has posted state-specific rates of improper payments in Medicaid. This welcome exercise in transparency is a sea change in the Payment Error Rate Measurement (PERM) program, which CMS has been using since 2007 to help states improve the accuracy of their Medicaid payments. Until now, CMS has been reporting only…
-
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…
-
Nation’s Progress on Children’s Health Coverage Reverses Course
Introduction For the first time since comparable data was first collected in 2008, the nation’s steady progress in reducing the number of children without health insurance reversed course. The number of uninsured children under age 19 nationwide increased by an estimated 276,000 to about 3.9 million (3,925,000) in 2017, according to newly-available data from the…
-
State Medicaid and CHIP Snapshots, 2018
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 51 states (including the District of Columbia). Sources are available here. Previous snapshots can be found here.
-
States Work to Curb Drug Spending: Tight Budgets Lead to New Approaches to Managing Costs
Prescription drug spending in the United States continues to grow, totaling $477 billion in 2016. Spending by Medicaid, which is jointly funded by states and the federal government, surpassed $31 billion that year. These rising costs have strained state budgets, leading policymakers to look for strategies—within Medicaid and beyond—to better manage spending while ensuring a patient’s access to…
-
Nationwide Rate of Uninsured Children Reaches Historic Low
Nationwide 95.5 percent of children had health insurance in 2016, up from 95.2 percent the previous year—and up from 92.9 percent in 2013, the year before the ACA was fully implemented. While relatively few children rely on the ACA’s Marketplace for insurance, many gained coverage in Medicaid or CHIP when their parents signed up for…
-
Section 1115 Medicaid Waiver Comments
Georgetown University’s Center for Children and Families contributes an independent perspective to the public dialogue on the future of Medicaid through the lens of children and their families.
-
State CHIP Snapshots
The Role of CHIP in Children’s Coverage In 2016 the children’s health insurance coverage rate in the United States dropped to just above 95 percent, an impressive achievement. Key to this success is the Children’s Health Insurance Program, which provides coverage to children who do not qualify for Medicaid but whose families cannot otherwise afford…
-
INTERACTIVE MAPS: Children Covered by Medicaid and CHIP by county, state or congressional district.
These maps show how many children are covered by Medicaid in each county and congressional district. Visit these links to view the maps, and to download handouts on your state’s coverage data: Percent of Children Covered by Medicaid/CHIP (congressional district) Percent of Children Covered by Medicaid/CHIP (county) Visit CCF’s State Resource Center for state-level data on health…
