Child health problems that are caused or exacerbated by health behaviors remain a leading cause of medical spending for children. We examined receipt of clinician advice in a sample of low-income children by insurance coverage. Publicly insured children were more likely than privately insured, full-yearuninsured children, and part-yearuninsured children to have had a preventive care visit in the past year, but regardless of health insurance group, many children went without preventive care. Those who were insured for an entire year through Medicaid or SCHIP did as well as or better than children who were privately insured for the year-and better than children who were not insured for some or all of the year-in terms of receiving preventive counseling. Rates of counseling were universally low, even for children who had a preventive care visit and children who would have particularly benefited from advice.