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Preserving Coverage

  • New CBO Baseline Expects Number of Uninsured to Rise by 5 Million Over Next Decade

    On May 2, the Congressional Budget Office issued its new baseline, including health coverage projections for the period 2019-2029.  CBO expects the number of non-elderly uninsured people nationwide will increase by 5 million over the next ten years, from 30 million in calendar year 2019 to 35 million in calendar year 2029. That is in…

  • Louisiana Launches Pilot Work Promotion Program Instead of Punitive Work Reporting Requirements

    Gov. John Bel Edwards in Louisiana should be commended. Not only did he fulfil a campaign promise to expand Medicaid to thousands of Louisianans, but now he has launched a positive work support pilot program for Medicaid beneficiaries. Positive work support initiatives illustrate there are better ways to assist Medicaid enrollees in improving their employment…

  • Estimated CHIP Enrollment by Congressional District, 2017

    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.

  • Uninsured Children in the United States

    Researchers at the Georgetown University Center for Children and Families publish this report annually. 2018 Nation’s Progress on Children’s Health Coverage Reverses Course 2017 Nationwide Rate of Uninsured Children Reaches Historic Low 2016 Children’s Health Coverage Rate Now at Historic High of 95 Percent 2015 ACA Helps Bring Child Uninsured Rate Down To New Record…

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

    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…

  • Five States Saw Uninsured Rates Rise for Kids Under 6 – Critical Early Development Years at Risk

    We have been digging deeper into the American Community Survey that we use for our annual uninsured report, which showed an increase overall for the first time since this data source began in 2008. Younger kids tend to have a higher rate of coverage than older kids, which makes sense as infants and toddlers are…

  • Next Effort to Repeal ACA Would Likely Look Like Last One

    Unsurprisingly, according to recent news reports (here and here), Congressional Republicans plan to pursue another attempt at repealing the Affordable Care Act next year if they maintain control of Congress after the midterm elections in November. Any repeal effort would likely be based on the 2017 bills from Senators Cassidy and Graham and a somewhat…

  • Louisiana Report: 2016 Medicaid Expansion Cut Adult Uninsured Rate in Half, Reduced Coverage Disparities, Benefited Rural and Urban Areas

    A new report from the Louisiana Department of Health, the 2017 Louisiana Health Insurance Survey, shows multiple positive effects from Louisiana’s recent Medicaid expansion – and continuing overall satisfaction with Medicaid and other coverage.  While the report focused on adult coverage, it also noted that Louisiana retains its remarkable success at reducing the uninsured rate…

  • One Month into Medicaid Work Requirement in Arkansas, Warning Lights are Already Flashing

    Arkansas’s Department of Human Services released numbers on its work requirement to a select group of reporters and officials late last Friday, and we just saw them earlier this week. The numbers confirm reports of widespread confusion over the work requirement’s rollout and exacerbate our fears that red tape will eventually lead to significant coverage…

  • Trump Hits Obamacare Again, Nearly Wiping Out Funds For Outreach

    Huffington Post By: Jeffrey Young and Jonathan Cohn The Trump administration’s campaign to undermine the Affordable Care Act notched another achievement Tuesday. This time, the agency that runs the health insurance exchanges is slashing funds for organizations that help people to shop for coverage, forcing the groups to make do with about one-fourth of the federal funding…

  • Weaponizing Medicaid Paperwork

    It turns out that CMS has a “Patients Over Paperwork” initiative, which the agency describes as “our effort to reduce administrative burden and improve the customer experience while putting patients first.” Who knew? If you’ve been following Administrator Verma’s crusade to condition Medicaid coverage on meeting requirements to document work, you would be quite surprised.…

  • This Thanksgiving I Am Grateful For My Child’s Health Insurance

    It has been a long year here in Washington with many threats, twists, and turns for those who rely on publicly funded health coverage for their families – that is 40 percent of all children in the United States. In my role here at the Center for Children and Families, I often speak with reporters…

  • How Medicaid and CHIP Shield Children from the Rising Costs of Prescription Drugs

    Nearly a quarter of U.S. children use at least one prescription drug a month, most commonly treating such conditions as asthma, attention deficit hyperactivity disorder, and infections. Medicaid guarantees that enrolled children who need drugs receive them without any financial barriers, while some in the Children’s Health Insurance Program have a modest copayment. This report, the third in a…

  • Top Five Threats to Child Welfare from the Senate Health Care Repeal Proposal

    The Senate’s proposal to repeal the Affordable Care Act (ACA) and to sharply cut Medicaid payments to states through so-called per capita caps can sound very abstract to social workers and policymakers coping with the day-to-day tragedies and crises of child welfare. But these disastrous changes could take a major step toward becoming law after…

  • Senate Repeal Bill More Than Doubles Number of Uninsured Kids

    The “Better Care Reconciliation Act” a.k.a. the Senate’s proposal to repeal and replace the Affordable Care Act and cut Medicaid would result in a sharp U-turn in the nation’s historic progress on children’s health coverage. Our nation recently brought the uninsured rate for children down to a record low of less than 5%.  A new…

  • Congressional Budget Office says Senate Bill Would Kick 22 Million People Off of Health Coverage

    As readers of SayAhhh! already know, the Senate released a discussion draft of their ACA repeal and replace bill last week and updated it today. We’ve already blogged about the implications we see of the Senate draft – like how it is not nice to children and families, how even Jimmy Kimmel says Medicaid caps…

  • Proposed Health Bill Would Increase Consumer Debt and Drive Up Uncompensated Care

    The Senate health bill ends retroactive eligibility, hospital presumptive eligibility, and any presumptive eligibility determination for expansion adults, which includes many parents. The end of retroactive eligibility and hospital presumptive eligibility will drive up consumer medical debt, which was the largest cause of U.S. bankruptcies prior to the Affordable Care Act. It will also drive…

  • Senate Bill is Not Nice to Children and Families

    There is a tremendous amount to digest here, and we are still working through the complex text, but one thing is clear – the Senate bill (like the House bill) will start moving the country backwards with respect to child and family coverage. Readers of Say Ahhh! know that the number of uninsured children is…

  • The Risk of Letting Politicians, Not Pediatricians, Determine Children’s Health Care

    Fifty years ago, after learning that half the young men drafted for the Vietnam War failed baseline health exams, the federal government instituted Medicaid’s comprehensive, pediatrician-recommended benefit standard for children known as Early and Periodic Screening, Diagnostic, and Treatment (EPSDT). The federal benefit standard in Medicaid ensures that low-income and vulnerable children receive the health care services…

  • Connecting the Dots: Capping Medicaid, Closing Rural Hospitals, and Stranding Rural Children and Families

    The Senate was designed by our founding fathers to protect less populated states. Few would dispute that over the decades, the Senate has faithfully executed that institutional mission, especially when it comes to health policy. So it is completely mystifying that the Senate, according to all reports, is seriously considering capping federal Medicaid payments to…