Journal Article The Biden Administration Should Approve Oregon's Request To Cover Children Until Their Sixth Birthday
Joan Alker, Genevieve M. Kenney, Sara Rosenbaum
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The state of Oregon has submitted a request to the Centers for Medicare & Medicaid Services to use Section 1115 authority under Medicaid to provide continuous coverage for infants and young children from birth through age five regardless of changes in financial and other family circumstances. This policy is designed to minimize unnecessary breaks in Medicaid coverage that undermine efforts to ensure children have continuous access to the health care they need to grow and thrive. Oregon’s proposed continuous coverage policy offers an important opportunity to study the impacts of stable coverage on outcomes for young children and their families, including receipt of recommended preventive care, school readiness, financial well-being, and parental peace of mind, and would provide incentives for managed-care plans and accountable care organizations to make investments in early childhood that provide longer-term payoffs. Oregon’s continuous coverage proposal and similar requests from other states support the administration’s stated goals of promoting coverage and reducing racial disparities and would be a major breakthrough in rethinking child health policy and promoting children’s growth and development.

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Research Areas Health and health care
Tags Children's health and development State Children's Health Insurance Program Medicaid and the Children’s Health Insurance Program 
Policy Centers Health Policy Center