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2019 saw the biggest rise in uninsured children in a decade -- and that was before the recession

The increase in the number of uninsured children last year was the largest in more than a decade, even before the pandemic and the recession it caused....

Posted: Oct 9, 2020 6:42 AM

The increase in the number of uninsured children last year was the largest in more than a decade, even before the pandemic and the recession it caused.

The uninsured rate climbed to 5.7% in 2019, the third year of increases after hitting a historic low of 4.7% in 2016.

The number of kids lacking coverage grew by 726,000 over those three years, according to a Georgetown Center for Children and Families analysis released Friday.

Despite the strong economy and record low unemployment rates that existed prior to the pandemic, the uninsured rates of both adults and children have risen during the Trump administration.

That figure is expected to shoot up in 2020 with millions of Americans losing their jobs and employer-sponsored health insurance.

Much of the improvement in children's rates earlier in the decade was due to the implementation of the Affordable Care Act coverage expansions in 2014, said Joan Alker, the center's executive director.

But the curtailment of marketing and enrollment assistance for the Obamacare exchanges under the Trump administration has eroded the gains, Alker said. Also, many states have increased the requirements to sign up for or remain enrolled in Medicaid or the Children's Health Insurance Program.

Another factor: the "chilling effect" created by the administration's efforts to curtail immigration, including the public charge rule, which makes it more difficult for immigrants who rely on public assistance, such as Medicaid, to obtain legal status.

Hispanic children saw the biggest jump in their uninsured rate, which climbed to 9.2% in 2019, from 7.9% two years earlier.

The share of uninsured children varies widely by state. Texas has the highest rate at 12.7% last year. The number of young Texans lacking coverage grew by 243,000 between 2016 and 2019, accounting for about one-third of nationwide increase. About 1 million children in Texas were uninsured in 2019.

Florida has the second biggest increase at 55,000, which brought its total number of uninsured children to 343,000 in 2019. Some 7.6% of Sunshine State children are uninsured.

More than half of kids lacking coverage live in the South.

Just under half of children have coverage through their parents' employers, while about one-third are insured through Medicaid or CHIP. The remaining have other sources of coverage, including through the Affordable Care Act exchanges, or are uninsured.

While more children are pouring into Medicaid and CHIP this year due to the pandemic-induced economic upheaval, it's likely even more will be uninsured. Some 1.4 million kids signed up for Medicaid or the CHIP, a jump of 4.1%, between February and June this year, according to preliminary federal data.

Minnesota Coronavirus Cases

Data is updated nightly.

Cases: 312969

Reported Deaths: 3637
CountyCasesDeaths
Hennepin661641115
Ramsey27766505
Anoka22149228
Dakota22015190
Washington13999115
Stearns13733116
St. Louis8747112
Scott846255
Wright775843
Olmsted665634
Sherburne587641
Clay498457
Carver474213
Blue Earth414116
Rice412836
Kandiyohi408122
Crow Wing359634
Otter Tail314322
Chisago311611
Nobles308730
Benton299451
Winona276930
Mower261623
Douglas260337
Polk256324
Morrison231629
Lyon218711
Beltrami217117
McLeod212812
Becker205415
Goodhue203228
Steele19497
Isanti190617
Itasca190423
Carlton185816
Todd181214
Nicollet162525
Mille Lacs153631
Freeborn15336
Le Sueur147011
Cass143710
Brown141315
Waseca139211
Pine13658
Meeker12879
Roseau11964
Hubbard114925
Martin113320
Wabasha10561
Redwood94619
Chippewa8877
Cottonwood8664
Renville86527
Dodge8600
Watonwan8544
Wadena8016
Sibley7934
Rock7779
Aitkin76730
Pipestone72518
Fillmore6990
Houston6984
Yellow Medicine64812
Pennington6478
Kanabec61913
Murray5873
Swift5838
Faribault5612
Pope5391
Clearwater5248
Stevens5103
Marshall4979
Unassigned49359
Jackson4881
Lake4226
Koochiching3926
Wilkin3895
Lac qui Parle3773
Lincoln3591
Norman3497
Big Stone3182
Mahnomen2964
Grant2796
Kittson2248
Red Lake2133
Traverse1481
Lake of the Woods1001
Cook720

Iowa Coronavirus Cases

Data is updated nightly.

Cases: 227398

Reported Deaths: 2368
CountyCasesDeaths
Polk33642336
Linn14352165
Scott1124986
Black Hawk10893135
Woodbury10372126
Johnson955336
Dubuque923291
Story678822
Dallas637257
Pottawattamie631970
Sioux370325
Webster358535
Cerro Gordo357144
Marshall348546
Clinton331344
Buena Vista305414
Des Moines291520
Muscatine289268
Warren281914
Plymouth276042
Wapello255772
Jones232313
Jasper217944
Marion205320
Lee203917
Carroll198422
Bremer195212
Henry18307
Crawford174616
Benton170619
Tama154340
Jackson144613
Delaware144221
Washington141314
Dickinson139210
Boone137011
Mahaska126827
Wright12456
Clay11784
Buchanan117010
Hardin115810
Page11374
Hamilton11199
Clayton11175
Cedar108413
Harrison107729
Kossuth10667
Calhoun10617
Floyd105016
Mills10487
Fayette103910
Lyon10338
Butler10216
Poweshiek99313
Winneshiek97613
Iowa95812
Winnebago93023
Hancock8677
Grundy86311
Louisa86216
Sac8608
Chickasaw8574
Cherokee8484
Allamakee81811
Cass81623
Mitchell7984
Appanoose79312
Humboldt7715
Union7706
Shelby76511
Emmet76424
Guthrie75415
Franklin73921
Jefferson7142
Madison6864
Unassigned6690
Palo Alto6554
Keokuk5997
Howard5599
Pocahontas5584
Greene5250
Osceola5241
Ida48913
Clarke4874
Davis4709
Taylor4653
Montgomery46311
Monroe44412
Adair4418
Monona4352
Worth3630
Fremont3583
Van Buren3585
Lucas3256
Decatur3170
Wayne3007
Audubon2962
Ringgold2112
Adams1702
Rochester
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