CCF Comments on “Public Charge Ground of Inadmissibility” NPRM

The Georgetown University Center for Children and Families submitted the following comments to the U.S. Department of Homeland Security and U.S. Citizenship and Immigration Services regarding the Notice of Proposed Rulemaking: “Public Charge Ground of Inadmissibility.” Read the Comments

December 27, 2025

Research & Reports

U.S. and State-by-State Child Health Coverage Trends

From 2022 to 2024, the rate of uninsured children increased from 5.1% to 6%, which is the highest rate of uninsured children in a decade. This was a statistically significant change and equates to an 18% increase in the number of uninsured children nationwide, marking a dramatic reversal of the progress made on child health…

September 12, 2025

By

Joan Alker

and

Yuliya Yafimenka

Research & Reports

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…

September 4, 2025

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Research & Reports

Medicaid, CHIP, and Affordable Care Act Marketplace Cuts and Other Health Provisions in the Budget Reconciliation Law, Explained

Editor’s Note: this brief was updated on August 13, 2025 to reflect additional Congressional Budget Office coverage estimates of the reconciliation law issued on August 11, 2025 In partnership with On July 4, 2025, President Trump signed the Congressional Republican budget reconciliation bill into law (H.R. 1 or P.L. 119-21 which was previously entitled the…

July 22, 2025

By

Edwin Park

and

Sabrina Corlette

Research & Reports

Medicaid is a Critical Insurer for Small Business

In Partnership with: This issue brief examines the prevalence of Medicaid as a source of insurance for small business owners, employees, and their family members using 2024 data from the Census Bureau’s Current Population Survey Annual Social and Economic Supplement (CPS ASEC). Small businesses are defined as those with under 100 employees. Our analysis of…

June 26, 2025

By

Joan Alker

and

David Chase

Research & Reports

Medicaid and CHIP Cuts in the House-Passed Reconciliation Bill Explained

Editor’s Note: CCF published a brief explaining the final bill that was signed into law on July 4, 2025. In the early morning of Thursday, May 22nd, on a 215-214 vote, House Republicans passed their budget reconciliation bill (the “One Big Beautiful Bill Act” or H.R. 1). The bill includes numerous provisions related to Medicaid…

May 27, 2025

By

Edwin Park

Research & Reports

Medicaid Plays A Key Role for Maternal and Infant Health in Rural Communities

Key Findings: Introduction This paper examines the role of Medicaid in covering women of childbearing age (19 through 44 years old) living in small towns and rural areas. Previous research in this series found a higher reliance on Medicaid as a coverage source for children and all non-elderly adults living in small towns and rural…

May 15, 2025

By

Joan Alker

and

Aubrianna Osorio

Research & Reports

2025 Medicaid and CHIP Eligibility, Enrollment, and Renewal Policies Survey Released by KFF and CCF

During the unwinding of the COVID-related freeze on disenrollments in Medicaid, states were required to renew health insurance for all 94 million enrollees. The focus on Medicaid renewal processes during the unwinding revealed their complexity and inefficiencies in the system. With states facing an unprecedented volume of work and eligibility worker shortages, CMS provided new…

April 3, 2025

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Projects

Medicaid Helps Families of Children and Youth with Special Health Care Needs

In partnership, the Georgetown University Center for Children and Families and Family Voices, —a national nonprofit led by families and friends of children and youth with special health care needs (CYSHCN) and disabilities—are sharing perspectives from families whose children have special health care needs and disabilities and are covered by Medicaid. In a survey conducted…

March 24, 2025

Projects

Medicaid Helps Children and Youth with Special Health Care Needs

In Partnership with: Children and Youth with Special Health Care Needs (CYSHCN) Depend on Medicaid Children and Youth with Special Health Care Needs (CYSHCN) are defined as children who have chronic physical, developmental, behavioral, or emotional conditions and who also require health and related services of a type or amount beyond that required by children…

March 24, 2025

Projects

How Medicaid Supports Seniors and People with Disabilities and Their Caregivers

In Partnership with Medicaid Supports the Health and Economic Well-Being of Paid and Unpaid Caregivers and is Vital to Older Adults and People with Disabilities Medicaid is essential to the health and wellbeing of people in the United States at every stage of life. Medicaid is much more than a health insurance program: it is…

March 11, 2025

Projects

How Medicaid Supports Maternal and Infant Health

Medicaid Helps Mothers and Babies Get the Care They Need Medicaid coverage plays a vital role in ensuring that no mother or infant falls through the cracks during the first year postpartum. Medicaid finances more than 40% of births across the nation. Eligibility levels vary by state but coverage for maternity care, including prenatal and…

February 28, 2025

Projects

Medicaid’s Role in Child, Youth and Adult Mental Health

Addressing the Nation’s Mental Health Crisis Relies on a Strong Medicaid Program The United States is enduring a significant mental health crisis, with nearly one in three adults experiencing anxiety and depression symptoms in 2023. The problem, exacerbated by the pandemic, is particularly acute among children and youth. The American Academy of Pediatrics and other…

February 19, 2025

Projects

How Medicaid Helps People with Substance Use Disorders

In recent years, many Americans have grown to view a substance use disorder as a chronic disease, even as the stigma toward people who use drugs and alcohol persists. Following decades of punitive and criminal responses, health care and social services systems are adopting more effective ways to ensure access to substance use prevention, intervention…

February 19, 2025

Projects

How Medicaid Supports Parents in Crisis, Children in or Youth Aging out of Foster Care, Relative Caregivers, and Adoptive Families

Medicaid Matters for Children and Families in the Child Welfare System The child welfare system encompasses children who are in or at-risk of entering foster care, living with relative caregivers, or adopted out of care. Medicaid is a critical source of access to physical, mental, and dental health care for this population and their parents…

February 13, 2025

Research & Reports

Frequently Asked Questions about the Medicaid & CHIP Eligibility and Enrollment Rule

On March 27, 2024, the Centers for Medicare & Medicaid Services (CMS) issued a final regulation addressing eligibility and enrollment in Medicaid and the Children’s Health Insurance Program (CHIP), titled “Streamlining the Medicaid, Children’s Health Insurance Program, and Basic Health Program Application, Eligibility Determination, Enrollment, and Renewal Processes” (“E&E Rule”). The E&E Rule streamlines Medicaid…

February 6, 2025

Research & Reports

Medicaid: Important for Military Families & Future Readiness

In partnership with The physical health and well-being of current service members is vital in supporting military readiness. Likewise, the physical health and well-being of young Americans is vital to the future readiness of the Armed Forces. Ensuring affordable and comprehensive health care access for America’s military families and our next generation is an essential…

January 27, 2025

By

Allexa Gardner

,

Steve Doster

and

Joan Alker

Research & Reports

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…

January 15, 2025

By

Joan Alker

,

Aubrianna Osorio

and

Edwin Park

Projects

How Medicaid Supports Student Success

In partnership with: Medicaid provides health coverage to almost half of America’s children, giving them access to the care they need to show up for school ready to learn. Children covered by Medicaid are more likely to receive the preventive health care that keeps them in school, annual checkups that allow them to participate in…

January 9, 2025

Research & Reports

Medicaid Managed Care and Early Childhood Development: A 12-state Scan

Summary and Key Findings The first five years of a child’s life are a period of rapid growth and development. During this time, frequent check-ups are essential to monitor a child’s progress so that if a problem is identified an intervention can occur before things get worse. Medicaid, a primary source of health care coverage…

December 12, 2024

By

Andy Schneider

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Elisabeth Wright Burak

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