Research & Reports
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Number of Uninsured Children Stabilized and Improved Slightly During the Pandemic
Data released by the U.S. Census Bureau’s American Community Survey (ACS) for 2021 finds that nationally the estimated number and rate of uninsured children went down slightly from 2019 to 2021. This data provides the first comprehensive look at what happened to children with respect to this metric during the first part of the COVID-19…
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State Opportunities to Improve Health Care Coverage for Child Care Professionals
States are grappling with how to more effectively support their child care workforce, including ensuring providers have access to affordable health care. Just like parents, frontline early education professionals are better able to support children in their care when they are healthy. A healthy caregiver is especially important for young children because brain development in…
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Comments on Streamlining Medicaid/CHIP Eligibility Determination, Enrollment and Renewal Processes
Georgetown University Center for Children and Families submitted these comments to CMS on the “Streamlining the Medicaid, Children’s Health Insurance Program, and Basic Health Program Application, Eligibility Determination, Enrollment, and Renewal Processes Proposed Rule.” EE NPRM CCF Comments
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Comments on Amendments to “KanCare” Medicaid Demonstration
The Georgetown University Center for Children and Families and the Center on Budget and Policy Priorities submitted the following comments to CMS regarding Kansas’ application to amend the “KanCare” Medicaid demonstration that would authorize continuous eligibility for parents and caretaker relatives. KanCare Amendment Comments
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Comments on Temporary Increase in FMAP in Response to Covid-19 Public Health Emergency Reopening of Public Comment
Georgetown University Center for Children and Families submitted comments to CMS on the “Medicaid Program; Temporary Increase in Federal Medical Assistance Percentage (FMAP) in Response to the COVID-19 Public Health Emergency (PHE); Reopening of Public Comment Period”. CCF Comments IFR-C MOE 2022
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Gracias a las leyes federales, hay menos niños sin seguro medico en Georgia, pero eso podría cambiar pronto
Georgia ocupa el cuarto lugar entre los estados con el peor número de niños sin seguro médico, con un estimado de 176,000 niños sin cobertura de salud. Comparado con los estados vecinos del sur, Georgia tiene un desempeño insatisfactorio. La tasa de niños sin seguro en todos los estados vecinos—con excepción de la Florida—es mucho…
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The Number of Uninsured Children in Georgia Has Declined Thanks to Federal Law But May Rise Soon
The state of Georgia has the fourth highest number of uninsured children with an estimated 176,000 Georgia children going without health coverage. Georgia performs poorly in comparison to its neighbors in the deep south. All of Georgia’s neighboring states—with the exception of Florida—have better child uninsured rates (see Figure 1). Children without health insurance have…
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Restoring the Public Charge Policy
The Department of Homeland Security (DHS) issued a final regulation that restores longstanding public charge policy, effective December 23, 2022. This comes after attempts by the Trump Administration to radically expand the scope and nature of the public charge test, making it much harder for some immigrants to adjust their status and discouraging many more…
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Medicaid and CHIP Continuous Coverage for Children
States have the option under current law to provide 12 months of continuous health coverage for children in Medicaid and the Children’s Health Insurance Program (CHIP) so that children can maintain coverage throughout the year even as their family income fluctuates from month to month.[note]Twelve-month continuous eligibility was authorized in the 1997 Balanced Budget Act.…
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Comments on Tennessee’s Proposed “Amendment 4” to TennCare III Demonstration
The following organizations joined Georgetown University Center for Children and Families in submitting comments to HHS regarding Tennessee’s proposed “Amendment 4” to its TennCare III Demonstration. ACNM Tennessee Affiliate American College of Obstetricians and Gynecologists (ACOG) American Lung Association Autistic Self Advocacy Network Center for Law and Social Policy Center on Budget and Policy Priorities…
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En Georgia las mujeres en edad reproductiva enfrentan muchos obstáculos para recibir atención médica
En Georgia 1 de cada 5 mujeres en edad reproductiva no tiene seguro médico Debido en gran parte a la decisión de no expandir Medicaid, Georgia tiene una de las tasas más altas de mujeres en edad reproductiva (18-44 años) sin seguro médico de todo el país: casi 1 de cada 5 (19.3%) no cuenta con seguro…
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Georgia’s Women of Reproductive Age Face Many Barriers to Health Care
One in Five Women of Reproductive Age Is Uninsured in Georgia Largely due to the state’s decision not to expand Medicaid, Georgia has one of the highest rates of uninsured women of reproductive age (18-44) in the country with nearly one in five (19.3 percent) lacking health insurance. Georgia ranks 46th in the country and…
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Opportunities to Support Maternal and Child Health Through Medicaid’s New Postpartum Coverage Extension
Introduction The new state option to extend Medicaid and CHIP coverage for one year after the end of pregnancy is a transformational opportunity for states to support improved maternal and infant health in the year following birth. It also offers state Medicaid leaders a focused moment to use the successful implementation of the new policy…
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CHIP: Serving America’s Children for 25 Years
In its 25-year history, the Children’s Health Insurance Program (CHIP) has established itself as a critical piece of the federal-state response to children’s health care needs. CHIP, signed into law on August 5, 1997, was created to build on the success of Medicaid by giving states the opportunity to receive enhanced federal matching funds to…
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A Guide for Health Care Advocates: Medicaid Managed Care Procurement
Overview Most Medicaid beneficiaries in most states are enrolled in managed care organizations (MCOs). (See text box, “What’s a Medicaid MCO?”) State Medicaid agencies contract with MCOs to assemble networks of health care providers to furnish services to program beneficiaries and protect them from medical debt. Simply put, if an MCO does not do its job,…
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Response to Access RFI
Georgetown University Center for Children and Families submitted the following response to CMS’s request to identify strategies to ensure that individuals eligible for Medicaid and CHIP are able to apply, enroll in, and receive benefits in a timely and streamlined manner that promotes equitable coverage. CCF Response to Access RFI
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Medicaid and CHIP Eligibility and Enrollment Policies as of January 2022: Findings from a 50-State Survey
Executive Summary Enrollment in Medicaid has grown significantly during the coronavirus pandemic. Provisions in the Families First Coronavirus Response Act (FFCRA) require states to provide continuous coverage for Medicaid enrollees until the end of the month in which the public health emergency (PHE) ends in order to receive enhanced federal funding. Continuous enrollment has helped to preserve…
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Millions of Children May Lose Medicaid: What Can Be Done to Help Prevent Them From Becoming Uninsured?
Introduction As of June 2021, over 40 million children were enrolled in Medicaid or CHIP for their health insurance — the vast majority in Medicaid.[note]Georgetown University Center for Children and Families analysis of February 2020-June 2021 Centers for Medicare and Medicaid Services State Medicaid and CHIP Applications, Eligibility Determinations, and Enrollment Data, available at https://data.medicaid.gov/dataset/6165f45b-ca93-5bb5-9d06-db29c692a360.…
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American Rescue Plan Home and Community-Based Services Funding: A Review of State Plans to Support Child and Adolescent Mental Health
The COVID-19 pandemic has taken an unprecedented toll on children’s mental health, exacerbating long-standing gaps in mental health care for children in the United States. Fortunately, a number of states plan to invest in initiatives that support youth behavioral and mental health by leveraging funds made available by section 9817 of the American Rescue Plan…
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Gaps in Coverage: A Look at Child Health Insurance Trends
The number of uninsured children was on a downward trajectory for many years,[note]The Future of CHIP and Children’s Coverage, Report to Congress from the Medicaid and CHIP Payment Advisory Commission (MACPAC), March 2017, p. 7, available at https://www.macpac.gov/wp-content/uploads/2017/03/The-Future-of-CHIP-and-Childrens-Coverage.pdf.[/note] but in 2017 started going back up, rising a full percentage point between 2016 and 2019 (see…
