In some states, the widespread disenrollment of children seems to be happening not by accident but by design.
In Texas, for example, KFF data show that kids account for 81% of disenrollments. They represent at least half in Kansas, Idaho and Missouri. And those are just the states that are reporting disenrollments by age — the true size of the problem is not yet clear. Florida, for example, is said to have kicked off at least 120,000 children, and has made it difficult for families to get help reinstating access.
In a stern warning to states last week, CMS made clear that approach isn’t legal. The agency instructed any states with the issue to immediately pause these disenrollments, reinstate coverage, and introduce plans to mitigate future errors. If they don’t, they risk myriad penalties.But that might not be enough. Consider newborn babies. Newborns, at least in theory, should be protected from the disenrollment trend because any birth covered by Medicaid confers benefits to the baby for up to a year.
The short-term consequences are clear: Children lose out on necessary health care. An analysis by KFF found that in 2021, nearly a third of uninsured children did not see a doctor in the past year, compared with just 8% of kids with public or private insurance. Access to insurance also affects their economic well-being. One study linked the expansion of Medicaid coverage in the 1980s and 1990s to a rise in high school graduation rates in the 2000s. Another found that childhood Medicaid access increases college enrollment.
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