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Research & Reports

  • State Medicaid and CHIP Snapshots, 2019

    CCFadmin

    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. Previous snapshots can be found here. 

  • How Medicaid and CHIP Can Support Student Success through Schools

    Candace Webb

    Seventh in a series of briefs on the future of children’s health care coverage Summary Recognizing that a healthy student is a better student, education and health officials have begun working closely in the past few years to integrate their efforts. Recent changes to federal education law, new grant programs and revised Medicaid rules have…

  • Medicaid and CHIP Eligibility, Enrollment, and Cost Sharing Policies as of January 2019: Findings from a 50-State Survey

    Tricia Brooks

    Executive Summary This 17th annual survey of the 50 states and the District of Columbia (DC) provides data on Medicaid and the Children’s Health Insurance Program (CHIP) eligibility, enrollment, renewal, and cost sharing policies as of January 2019. It is based on a telephone survey of state Medicaid and CHIP officials conducted by the Kaiser…

  • The Questions to Ask When Assessing the Impact of Coverage Expansion Proposals on Children

    Edwin Park

    Sixth in a series of briefs on the future of children’s health care coverage Introduction With the outcome of the November midterm elections, the risk of federal legislation to repeal and replace the Affordable Care Act (ACA) and impose a cap on federal Medicaid funding has receded. Instead, there is renewed attention by some policymakers…

  • Estimated CHIP Enrollment by Congressional District, 2017

    Olivia Pham

    The following workbook estimates the number of children ever enrolled in CHIP in 2017 by congressional district. See the notes tab in the workbook for information on data sources and methodology. View the 2016 workbook.

  • Work Reporting Requirement for Tennessee Parents Would Harm Low-Income Families with Children

    Joan Alker

    Introduction Tennessee is seeking federal permission to impose a work reporting requirement on low-income parents and caregivers receiving health coverage through Medicaid. Under the proposal, these beneficiaries ages 19 to 64 would have to document that they are working at least 20 hours a week or participating in job-training, education, or volunteer activities in order…

  • Medicaid Waiver Proposal For Oklahoma Medicaid Beneficiaries Would Harm Low-Income Families With Children

    Joan Alker

    Introduction Through an amendment to its Section 1115 Medicaid demonstration waiver, Oklahoma is seeking federal permission to impose work reporting rules on very low-income parents and caregivers age 19-50 receiving health coverage through Medicaid. Parents of children below age six would be exempt. Under the proposal, which would be phased in, these beneficiaries would have…

  • How to Strengthen the Medicaid Drug Rebate Program to Address Rising Medicaid Prescription Drug Costs

    Edwin Park

    Fifth in a series of briefs on the future of children’s health care coverage Introduction Prescription drugs are essential for the health of tens of millions of low-income children enrolled in Medicaid. They not only are part of routine pediatric care but also provide critical treatment and maintenance for chronic conditions such as asthma and…

  • Low-Income Families with Children Will Be Harmed by South Carolina’s Proposed Medicaid Work Reporting Requirement

    CCFadmin

    [Editor’s Note: On March 4, 2019 South Carolina posted a revised application for state public comment.] Introduction South Carolina officials are proposing that very low-income parents and caregivers who qualify for Medicaid fulfill new reporting requirements to show they are working at least 80 hours a month or participating in job- training activities — or…

  • Coverage for Children Under 6 Reversed Course Between 2016 and 2017

    CCFadmin

    For the first time in nearly a decade, the rate of young children without health insurance significantly increased between 2016 and 2017, reversing years of steady progress in reducing the nation’s uninsured rate for children, particularly in the early years. Mirroring national trends for children age 18 and under, state Medicaid coverage rates for children…

  • Using Medicaid to Ensure the Healthy Social and Emotional Development of Infants and Toddlers

    Elisabeth Wright Burak

    Part I: Executive Summary Each child’s social-emotional development underpins overall development and greatly influences his or her lifelong trajectory. Infants and toddlers experience a period of rapid brain development marked by great possibility and vulnerability, depending on their family and community contexts. The first years of life are particularly crucial to a child’s development of…

  • Nation’s Progress on Children’s Health Coverage Reverses Course

    Joan Alker

    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[note] This report examines children under age 19 because of changes to the health insurance age categories in the 2017…

  • How Proposed Changes to Public Charge Would Impact Children in Immigrant Communities

    Kelly Whitener

    Editor’s Note, 10/15/19: Several federal courts have issued nationwide injunctions blocking implementation of the proposed changes to the public charge rule. We will update any further developments. Introduction The Department of Homeland Security (DHS) issued a proposed regulation that would radically change U.S. immigration policy. The changes would ripple through nearly every aspect of the…

  • Health Insurance Coverage in Small Towns and Rural America: The Role of Medicaid Expansion

    Jack Hoadley

    Introduction Medicaid has been a key factor in lowering the percentage of Americans who lack health insurance. Nationally, the uninsured rate for all Americans under the age of 65 (adults and children) fell dramatically between 2010 and 2016 from 18.2 percent to 10.4 percent, rising slightly to 10.7 percent in 2017.[note]These data measure insurance status…

  • Summary of Mississippi’s Revised Section 1115 Medicaid Waiver Proposal

    CCFadmin

    Overview: A revised version of Mississippi’s Section 1115 waiver proposal, which seeks to condition Medicaid eligibility on compliance with a work/community engagement requirement for very low-income parents/caregivers, has been re-opened by the federal government for public comment. Comments on the waiver, known as the “Mississippi Workforce Training Initiative,” are due by August 18, 2018. The…

  • New Waiver Proposal for Oklahoma Medicaid Beneficiaries Would Harm Low-Income Families With Children

    Joan Alker

    Introduction Oklahoma is planning to ask federal permission to impose a work requirement on very low-income parents and caregivers receiving health coverage through Medicaid. Under the proposal, these beneficiaries would have to document that they are working at least 20 hours a week or participating in job-training or volunteer activities in order to maintain their…

  • Medicaid and CHIP Provide Health Coverage for Many School-Age Children, Yet Gaps Remain

    Karina Wagnerman

    Introduction Children need health coverage to help them stay healthy and ready to learn in the classroom. Medicaid and the Children’s Health Insurance Program (CHIP), the primary public health coverage sources for children, have worked together in recent decades to bring the rate of uninsured children to historic lows. In 2016, only 4.5 percent of…

  • State Medicaid and CHIP Snapshots, 2018

    CCFadmin

    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. 

  • Low-Income Families with Children Will Be Harmed by South Carolina’s Proposed Medicaid Work Requirement

    Joan Alker

    Introduction South Carolina officials are proposing that parents and caregivers who qualify for Medicaid prove they are working at least 80 hours a month or participating in job-training or volunteer activities before receiving health coverage. The state will have to seek a Section 1115 demonstration waiver from the federal government to implement this plan. If…