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Texas

  • Protected: Uninsured Rate for Young Children Rose More Sharply than for Older Children from 2022-2024

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  • Is Your State Leaving Money on the Table? How CHIP Health Service Initiatives Can Help States Support Children’s Access to Care

    At a time when states are facing growing fiscal pressures and increasing strain on health systems, the Children’s Health Insurance Program (CHIP) Health Services Initiatives (HSIs) represent an often overlooked source of federal funding offering flexible financing to support outreach and targeted health initiatives to improve children’s health. This source of federally-matched funding becomes increasingly…

  • State by State Medicaid and CHIP Enrollment Data

    This tracker shows enrollment data for Medicaid and the Children’s Health Insurance Program (CHIP) in all 50 states and DC, from January 2025 to the most recent month available. Data include total Medicaid/CHIP enrollment, as well as enrollment for children, adults, and Medicaid expansion. Historical data are also included to provide additional context for state…

  • Thinking Frequent Medicaid Redeterminations Won’t Hurt Children’s Health Insurance? Take a look at What Happened in Texas.

    Nearly half (47%) of the 79 million people who get their health insurance through Medicaid are children. To ensure continuity of coverage for children, Congress took action to protect children’s access to health insurance by requiring states to provide a full year of continuous coverage in Medicaid to children beginning in 2024. But will children’s…

  • 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…

  • 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…

  • State Medicaid and CHIP Snapshots, 2023

    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 50 states and the District of Columbia. Sources available here. Previous snapshots can be found here (2019), here (2018) and here (2017).  Check out more interactive…

  • Texas Medicaid Waiver Trilogy: The Final Installment

    The drama over Texas’ Section 1115 Medicaid waiver has come to a somewhat surprising and precipitous close. On April 22nd, 2022 the Biden Administration decided to stop fighting the litigation brought by Texas Attorney General Paxon to reinstate the terms of the Trump Administration’s waiver approval issued on January 15, 2021 (i.e. just a few…

  • Texas Medicaid Section 1115 Waiver Drama Trilogy: Part II

    Texas Expects to Get, But Not Give, Notice The Biden Administration came to town with clear intentions to review some of the waiver agreements that the Trump Administration had authorized – most notably on work requirements. We and others had urged the Trump Administration to reconsider the January 15th demonstration approval in Texas in light…

  • Texas Medicaid Section 1115 Waiver Drama: A Trilogy

    The world of Section 1115 Medicaid waivers can be mysterious and weedy, arcane and annoying, boring and, at times, dramatic. And in recent years, the use of Section 1115 authority by the Trump Administration stretched all previously known boundaries and wound up in court on multiple occasions  – most famously in the Arkansas work requirements…

  • Medicaid Wars: The Unwinding (and Litigation) Continues (Episode IV)

    It’s been seven months and change since the Biden Administration took office. What it found waiting for it on January 20 was not just a crisis of democracy and a global pandemic and a surge of unaccompanied children at the border, but also a large pile of policy intended to undercut the Administration’s ability to…

  • A Profile of Texas’s Low-Wage Uninsured Workers

    The recently enacted American Rescue Plan Act of 2021 (ARP) includes new large financial incentives for states to extend health insurance coverage to low-wage workers and otheradults earning less than $17,775 a year.¹ These incentives apply to regular spending in a state’s Medicaid program and offer a five-percentage point across the board increase in the…

  • Texas Medicaid Waiver a Diversion in Crisis of the Uninsured

    Confused about Texas Medicaid funding? Understandable. The April decision that Texas must “redo” the process to extend our Medicaid “1115 waiver” funding past 2022 — an extension granted by the Trump administration despite the lack of a required public comment process — is important but not calamitous. Texas’ waiver agreement, approved by President Barack Obama…

  • Harris County has more uninsured kids than most – and it’s only getting worse

    Houston Chronicle By: Gwendolyn Wu One in seven children in Harris County were uninsured in 2019, one of the highest rates in the country and almost triple the national average, according to a report from the Georgetown University Center for Children and Families. Those numbers are only expected to rise in 2020, as families lose employer-sponsored…

  • Fact Sheets: Latino Children’s Health Coverage

    State officials’ decisions about coverage options, especially in times of crises, have a profound effect on children and can exacerbate pre-existing racial and ethnic disparities. For notes on methodology, visit this page. Arizona Fact Sheet California Fact Sheet Florida Fact Sheet Georgia Fact Sheet Nevada Fact Sheet Puerto Rico Fact Sheet Texas Fact Sheet For…