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Research & Reports

  • What Does New Federal CHIP Law Mean for Children’s Health Insurance in Florida?

    Joan Alker

    Overview After much delay, Congress recently passed two extensions of the Children’s Health Insurance Program (CHIP) which funds coverage for approximately 345,000 children in Florida. CHIP covers children in families with incomes over the poverty line that are not eligible for Medicaid but can’t afford private insurance. CHIP is a federal-state matching program and states…

  • Snapshot of Children’s Coverage by Race and Ethnicity

    Tricia Brooks

    Medicaid and the Children’s Health Insurance Program (CHIP) are primary sources of health coverage for children. These programs are particularly important to children of color, who are disproportionately represented among beneficiaries because they are more likely to be economically disadvantaged. Read and download our snapshots Snapshot of Children with Medicaid by Race and Ethnicity, 2018…

  • Protecting and Promoting Medicaid’s Guaranteed Benefits for Children: Iowa EPSDT and Managed Care

    Tricia Brooks

    Introduction With support from the Georgetown University Center for Children and Families under a Robert Wood Johnson Foundation grant, the Child and Family Policy Center (CFPC, also referred to as the Center) engaged in activities in 2017 to protect and strengthen Medicaid’s critical pediatric benefit in the context of Iowa’s managed care rollout. CFPC welcomed…

  • Protecting and Promoting Medicaid’s Guaranteed Benefits for Children: Illinois EPSDT and Managed Care

    Tricia Brooks

    Introduction In 2017, the Sargent Shriver National Center on Law Poverty and Everthrive Illinois engaged in activities to protect and strengthen Medicaid’s comprehensive and preventive pediatric benefits as more children were enrolled into Managed Care Plans (MCOs). This work was supported by the Georgetown University Center for Children and Families through a grant from the…

  • Assessing Florida’s Medicaid Reform

    Joan Alker

    Over the past decade, Georgetown University researchers have studied Florida’s Medicaid program with funding from the Jessie Ball DuPont Fund, the Winter Park Health Foundation and other Florida-based funding partners. Our studies have looked into Florida’s Medicaid pilot waiver launched in 2006, the current Medicaid waiver launched in 2013 and the debate in Florida over…

  • Proposed Medicaid Work Requirement: Impact on Mississippi’s Low-Income Families

    Joan Alker

    (Updated August 3, 2018) Introduction Mississippi has joined a handful of states seeking federal permission to require parents and caregivers who qualify for Medicaid to prove they are working at least 20 hours a week or participating in an approved work activity before receiving health coverage. Called the “Mississippi Workforce Training Initiative,” the application for…

  • Medicaid and CHIP Eligibility, Enrollment, Renewal, and Cost Sharing Policies as of January 2018: Findings from a 50-State Survey

    Tricia Brooks

    Executive Summary This 16th annual 50-state survey provides data on Medicaid and the Children’s Health Insurance Program (CHIP) eligibility, enrollment, renewal and cost sharing policies as of January 2018. It takes stock of how the programs have evolved as the fifth year of implementation of the Affordable Care Act (ACA) begins, discusses policy changes made…

  • The Impact of Alabama’s Proposed Medicaid Work Requirement on Low-Income Families with Children

    Joan Alker

    (Updated August 23, 2018) What is Alabama proposing to do? Alabama is seeking federal permission through a Section 1115 Medicaid demonstration waiver to require parents and caregivers who rely on Medicaid to work 20 to 35 hours a week, prove they are looking or training for a job or do community service before receiving Medicaid.…

  • Proposed Medicaid Work Requirement: Impact on Alabama’s Low-Income Families with Children

    CCFadmin

    Alabama’s plan to impose a work requirement on parents receiving Medicaid could cost as many as 8,700 people their health coverage in the first year alone, affecting mainly mothers whose children also would feel the impact, according to a new analysis by the Georgetown University Center for Children and Families and Arise Citizens’ Policy Project.…

  • HEALTHY KIDS and ACCESS Acts: Summary of Key Provisions Impacting Children

    Kelly Whitener

    Introduction On January 22, 2018, Congress passed a Continuing Resolution (CR) that included the Helping Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable Act (HEALTHY KIDS Act) funding the Children’s Health Insurance Program (CHIP) for six years.[note]See P.L. 115-120. The CHIP-related provisions are in “Division C – HEALTHY KIDS…

  • Developmental Screenings for Young Children in Medicaid and the Children’s Health Insurance Program

    Elisabeth Wright Burak

    Introduction As our nation reaches historic levels of health coverage for children, there is increased interest in further ensuring access to the care needed for children to reach their full potential. Years of research have confirmed the critical importance of the earliest years of a child’s development.[note]See for example, Institute of Medicine. From Neurons to…

  • How Can We Tell Whether Medicaid MCOs are Doing a Good Job for Kids?

    Andy Schneider

    Introduction Nearly 40 percent of the nation’s children—37 million—are covered by Medicaid.[note]Source for 40 percent: “Public Health Insurance Coverage by Type 2016: American Community Survey 1-Year Estimates,” U.S. Census Bureau’s 2016 American Community Survey, available at https://factfinder.census.gov/faces/tableservices/jsf/pages/productview.xhtml?pid=ACS_16_1YR_S2704&prodType=table; source for 37 million, “Unduplicated Number of Children Ever Enrolled, FY 2016,” Center for Medicaid and CHIP Services,…

  • When Will States Run Out of Federal CHIP Funds? (January 2018 Update)

    Tricia Brooks

    A new report by the Georgetown University Center for Children and Families estimates that if Congress does not approve funding for the Children’s Health Insurance Program (CHIP) in January, an estimated 24 states (including D.C.) could face CHIP funding shortfalls. Coverage beyond February is most at risk for approximately 1.7 million children in 21 of the 24 states with…

  • New Report on CHIP Funding Delay Shows Nearly 2 Million Kids May Lose Coverage in January

    Joan Alker

    A new analysis by the Georgetown University Center for Children and Families found that if Congress does not act soon to fund the Children’s Health Insurance Program (CHIP), an estimated 1.9 million children in separate CHIP programs could lose coverage in January. An additional 1 million children would also be at risk of losing coverage…

  • Research: Coverage and Medicaid Expansion Effects on Parents and Children

    Adam Searing

    Comprehensive Overview of Multiple Studies The Effects of Medicaid Expansion under the ACA: Updated Findings from a Literature Review [note]Larisa Antonisse, Rachel Garfield, Robin Rudowitz and Samantha Artiga, Kaiser Family Foundation, Sep 25, 2017.[/note] A 2017 update of the broadest review currently published, this comprehensive look at 153 studies comparing Medicaid expansion and non-expansion states…

  • What Are the Consequences of Congressional Delay on CHIP?

    Tricia Brooks

    Funding for the Children’s Health Insurance Program (CHIP) expired nearly a month ago and Congress still has not passed legislation to extend funding. Researchers at Georgetown University’s Center for Children and Families took a look at the consequences of the delay in CHIP funding. “This delay in funding CHIP is really unchartered territory and puts…

  • Nationwide Rate of Uninsured Children Reaches Historic Low

    Joan Alker

    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

    CCFadmin

    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.

  • Medicaid Caps Put Children at Risk

    Joan Alker

    Some recent health policy proposals have included converting Medicaid into a block grant and cutting funding levels. Policymakers that support these proposals are citing the success of the Children’s Health Insurance Program (CHIP), funded by a block grant, as justification for the idea. In this analysis, CCF researchers review the role of Medicaid and CHIP in…