Childhood Insurance Dynamics Predict Medicaid Cuts Will Widen Gaps

From The American Journal of Managed Care 9/24/2025

After President Donald Trump signed the Big Beautiful Bill into law in July—which is projected to slash $900 billion in federal Medicaid spending over the next 10 years—a new JAMA report shows that these cuts could critically impact US children.

According to the new research based on national data, between 2015 and 2019, 61% of children in the US were at some point enrolled in Medicaid or the Children’s Health Insurance Program (CHIP), and 42% experienced a period without health insurance before they reached 18 years old.3

Additionally, among those who were born into a family with Medicaid or CHIP, the rate of children who also experienced a period of no insurance was higher in states that did not expand Medicaid under the Affordable Care Act (ACA) compared with states that did (59% vs 36%).

The authors emphasized that their estimates showcase the critical role that Medicaid and CHIP play in childhood, despite persisting insurance gaps. They also warned that proposed cuts from the Trump Administration will only exacerbate these issues.

Read more: https://www.ajmc.com/view/childhood-insurance-dynamics-predict-medicaid-cuts-will-widen-gaps

State:
Federal
Interests:
Medicaid, Threat Watch
Submitted on:
September 24, 2025
Submitted by:
The American Journal of Managed Care
Contact Email:

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