Research & Reports
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Racial Health Inequities and Medicaid Work Requirements
Research by the Center for Children and Family demonstrates that Medicaid work reporting requirements proposed for low-income parents would disproportionately affect African American mothers and families. In three of the five states we reviewed, African American adults represent the largest proportion of the population subject to work reporting requirements. In all five states, the share…
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Medicaid as First Responder: Enrollment Is on the Rise
Introduction Medicaid is and will continue to play a central role in the nation’s response to the COVID-19 pandemic with respect to both the health crisis and the ensuing economic crisis. With unemployment rapidly rising to double digits and workers (and their spouses and dependent children) losing their employer-sponsored insurance, it has been widely expected…
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Rate of Uninsured Infants and Toddlers on the Rise
Introduction The percentage of infants and toddlers without health insurance is growing. The overall rate of uninsured children under 3 increased significantly for the first time in several years, growing from 3.5 percent in 2016 to 4.1 percent in 2018 (see Figure 1). This trend mirrors the national increase in the uninsured rate for all…
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Medicaid and CHIP Eligibility, Enrollment, and Cost Sharing Policies as of January 2020: Findings from a 50-State Survey
Introduction As the COVID-19 pandemic expands, needs for health insurance coverage through Medicaid and CHIP will increase for people who get sick and who lose private coverage due to the declining economy. Increasing enrollment for the 6.7 million uninsured individuals who are eligible for Medicaid and facilitating enrollment for the growing numbers of individuals who will…
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Approved 1135 Waivers and State Plan Amendments for COVID-19
Introduction Section 1135 of the Social Security Act allows the Health and Human Services Secretary to waive or modify certain Medicare, Medicaid, and CHIP requirements during a national emergency. The purpose of this authority is to ensure that during an emergency sufficient health care services are available to Medicare, Medicaid, and CHIP `beneficiaries. As of March 13,…
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Families First Coronavirus Response Act Medicaid and CHIP Provisions Explained
The Families First Coronavirus Response Act was signed into law (P.L. 116-127) on March 18, 2020. The law is the second piece of legislation enacted by Congress in response to the coronavirus pandemic and negotiations are currently underway on a third, much larger economic stimulus package. The Families First legislation covers a broad range of…
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Coronavirus (COVID-19) Resource Center
In response to the public health emergency caused by the novel coronavirus (COVID-19), the Georgetown University Center for Children and Families has created this resource center to keep you up to date on the latest in health coverage. [If you need help finding affordable health coverage or meeting other needs, call or text 211 for…
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Protected: Decade of Success for Latino Children’s Health Now in Jeopardy Social Media
There is no excerpt because this is a protected post.
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Decade of Success for Latino Children’s Health Now in Jeopardy
Introduction All children deserve a healthy, secure foundation that enables them to lead long and productive lives. Although many factors influence a child’s trajectory, having access to health coverage is essential to a child’s healthy development and is correlated with better educational outcomes, higher paying jobs as an adult, and improved health over a lifetime.[note]K.…
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Covering All Kids
Ninth in a series of papers from the Georgetown University Center for Children and Families on the future of children’s health coverage. Introduction The nation made remarkable progress in reducing the rate of uninsured children, following decades of coverage expansions and policy changes that made it easier for children and their families to get and…
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Comments to CMS on Proposed Medicaid Fiscal Accountability Regulation (MFAR)
The Georgetown University Center for Children and Families submitted the following comments to federal CMS on the proposed Medicaid Fiscal Accountability Regulation (MFAR). Georgetown-CCF-Comments-to-CMS-MFAR-CMS–2393–P
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Nation’s Youngest Children Lose Health Coverage at an Alarming Rate
Introduction Until recently, the U.S. has experienced a consistent, annual decline in the number and rate of uninsured children in most states.[note]J. Alker and L. Roygardner, “The Number of Uninsured Children is on the Rise” (Washington: Georgetown University Center for Children and Families, October 2019), available at https://ccf.georgetown.edu/wp- content/uploads/2019/10/Uninsured-Kids-Report.pdf.[/note] Beginning in 2016, however, the trend…
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Latino Children’s Coverage
Having health insurance is important for children to grow and thrive. Latino children are more likely than other children to be uninsured, but efforts to reduce this coverage disparity by expanding affordable coverage options such as Medicaid, CHIP, and the Affordable Care Act paid off – the rate of uninsured Latino children decreased to historic…
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The Number of Uninsured Children is on the Rise
[Editor’s Note: For the most recent report on children’s health coverage, click here.] Introduction For many years, the nation has been on a positive trajectory reducing the number and rate of uninsured children. Having health insurance is important for children as they are more likely to receive needed services, have better educational outcomes, and their…
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Strategies to Address Alarming Decline in Children’s Health Coverage
In this blog series, CCF Executive Director and Research Professor Joan Alker previews her ninth annual report on children’s health coverage and examines the alarming increase in the number of uninsured children after years of bipartisan success in reducing the child uninsured rate. Research Professor Tricia Brooks — a policy expert and former state CHIP…
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Promoting Health Coverage of American Indian and Alaska Native Children
Introduction In 2017 there were approximately 774,000 American Indian and Alaska Native (AI/AN) children under age 19, comprising about 1 percent of the 78.1 million children nationwide.[note]Georgetown University Center for Children and Families analysis of the U.S. Census 2017 American Community Survey data from American Fact Finder Table C27001C using 1-year estimates of AI/AN alone.[/note]…
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How the New Public Charge Rule Impacts Children in Immigrant Communities
Editor’s Note: On September 9, 2022, the Department of Homeland Security (DHS) issued a final rule called Public Charge Ground of Inadmissibility that will restore longstanding public charge policy effective December 23, 2022. Learn more in our factsheet. Executive Summary The final “public charge” rule changes immigration law and policy in ways that will shift the U.S.…
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How the Lawsuit to Overturn the Affordable Care Act Would Further Harm Medicaid and CHIP Coverage of Children
Introduction Texas vs. United States, the lawsuit to overturn the Affordable Care Act (ACA) in its entirety, continues to proceed apace through the federal courts, despite its extraordinarily weak legal reasoning. Most of the attention is rightfully focused on how the case could increase the number of uninsured in the nation by 20 million people,…
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Medicaid and CHIP Enrollment Decline Suggests the Child Uninsured Rate May Rise Again
Executive Summary There is no debate over the fact that children are losing Medicaid and Children’s Health Insurance Program (CHIP) coverage. Overall, more than 828,000, or 2.2 percent, fewer children were enrolled in Medicaid and CHIP, combined, at the end of 2018 than the previous year.[note] Georgetown University Center for Children and Families Analysis of…
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Medicaid Expansion Fills Gaps in Maternal Health Coverage Leading to Healthier Mothers and Babies
Introduction Disruptions in health coverage are associated with adverse health consequences.[note] B.D. Sommers et al., “Insurance Churning Rates For LowIncome Adults Under Health Reform: Lower Than Expected But Still Harmful For Many,” Health Affairs 35, no. 10 (October 2016), available at https://doi.org/10.1377/hlthaff.2016.0455.[/note] This is especially true for women in their childbearing years, when a pregnancy…
