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Comment
. 2023 Apr;93(5):1112-1115.
doi: 10.1038/s41390-023-02493-6. Epub 2023 Feb 17.

Band aids for Medicaid: preserving the high numbers of child health coverage during the pandemic

Shetal Shah  1 ; Pediatric Public Policy Council
Collaborators, Affiliations
Comment

Band aids for Medicaid: preserving the high numbers of child health coverage during the pandemic

Shetal Shah et al. Pediatr Res. 2023 Apr.
No abstract available

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Conflict of interest statement

The author declares no competing interests.

Figures

Fig. 1
Fig. 1. Average percent gain in Medicaid and CHIP-insured children during pandemic.
States which did not opt for Medicaid Expansion as part of the 2010 Affordable Care Act experienced higher gains in the percentage of insured children during the pandemic (mean ± standard deviation, 15 ± 0.4% vs. 11.5 ± 0.4%). While 31% of US children live in states that did not expand Medicaid, these 12 states hosted 43% of all children who gained coverage via Medicaid or CHIP during the public health emergency (data taken from ref.  Appendix A, “Child Enrollment in Medicaid and CHIP by State”).
Fig. 2
Fig. 2. Schematic of policies impacting Medicaid/CHIP enrollment during the COVID public health emergency.
Multiple provisions impact the ability of children to continue Medicaid/CHIP coverage. Selected barriers that may reduce the number of insured children include short periods to enroll in coverage, the inability for children who lose coverage in Medicaid to be automatically enrolled in CHIP, premium payments in CHIP which hamper affordability and lockout periods during which re-enrollment is not allowed. Proposals that maintain coverage and potentially boost the percentage of insured children include continuous enrollment from birth, extended re-enrollment periods and streamlined coverage.
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Comment on

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