Since Major Provisions of Affordable Care Act Took Effect
- The number of uninsured children in the United States increased by more than 400,000 between 2016 and 2018 bringing the total to over 4 million uninsured children in the nation.
- These coverage losses are widespread with 15 states showing statistically significant increases in the number and/or rate of uninsured children (Alabama, Arizona, Florida, Georgia, Idaho, Illinois, Indiana, Missouri, Montana, North Carolina, Ohio, Tennessee, Texas, Utah, West Virginia), and only one state (North Dakota) moving in the right direction.
- Loss of coverage is most pronounced for white children and Latino children (some of which may fall into both categories), young children under age 6, and children in low- and moderate- income families who earn between 138 percent and 250 percent of poverty.
- States not expanding Medicaid to parents and other adults under the Affordable Care Act have seen increases in their rate of uninsured children three times as large as states that have expanded Medicaid.
Causes of Decreased Coverage
The Georgetown Health Policy Institute (full report) details in its report the following factors have contributed to the erosion in children’s health coverage: efforts to repeal the Affordable Care Act and cut Medicaid; an intentional delay by the Republican administration to fund the Children’s Health Insurance Program (2017); the elimination of the individual mandate penalty (2019); cuts to enrollment outreach and advertising pre-ACA enrollment; inadequate oversight by the federal government of state Medicaid programs which create more red tape barriers; and an administration enacted, climate of fear of deportation and intentional confusion for immigrant families discouraging them from enrolling eligible children in Medicaid or CHIP (2016).
The Republican party has made it a goal to repeal the ACA as passed by Barack Obama and Democrats early on in its administration. Under President Trump, the Republicans have done everything possible to deny healthcare coverage to legal immigrants and their families, the poor, and those who are marginalized. The full report includes a series of charts which pictorially represents the issues briefly cited here. It also includes a state by state analysis of the uninsured. It should come as no surprise, the South has 52% of the total uninsured children with Texas have 21.5% of the total uninsured children in the nation.
The Number of Uninsured Children Is On the Rise,” October 2019, Georgetown Health Policy Institute, Joan Alker and Lauren Roygardner
Families looking for information on how to enroll their children in Medicaid or CHIP should call 877-KIDS-NOW or visit insurekidsnow.gov