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Reports

Children Falling Through the Health
Insurance Cracks

California is successfully enrolling uninsured children in its Medi-Cal and Healthy Families programs (the state's Medicaid and State Children's Health Insurance Program--SCHIP). However, the work does not end there: instead, children must stay covered so that the insurance is there when they need it--for the unexpected baseball injury or for regular check ups and immunizations. Children's health coverage should be ongoing, similar to school attendance: it is not enough to bring a child to the first day of school because education involves a continuum of learning.

As with other states, thousands of California's children are falling off Medi-Cal and Healthy Families every month. Our greatest concern is for those children who unnecessarily lose coverage even though they remain eligible.

Our new report on continuing children's coverage, Children Falling Through the Health Insurance Cracks:

  • outlines what families must do to keep Healthy Families and Medi-Cal;
  • provides new data on how many children are "retaining" Healthy Families/Medi-Cal coverage and reasons why children are losing coverage;
  • identifies critical junctures where children are at risk of losing coverage;
  • recommends promising strategies that California's programs should implement with highlights from other states' insurance programs;
  • suggests ideas for further research and demonstration pilot projects.