2025年的一项研究表明,美国儿童医疗保险普遍不稳定,尽管有联邦持续保险规则,但大多数儿童都存在差距。 A 2025 study reveals widespread instability in U.S. children’s health insurance, with most experiencing gaps despite federal continuous coverage rules.

分析美国2015年至2019年儿童医疗保险的2025年JAMA研究发现,在18岁之前,61%的人在医疗补助或CHIP注册,而42%的人至少经历了一个未投保期。 A 2025 JAMA study analyzing U.S. children’s health insurance from 2015 to 2019 found that 61% enrolled in Medicaid or CHIP by age 18, while 42% experienced at least one uninsured period. 非医疗扩展州的儿童在覆盖面上的差距更大,有59%的儿童在某个时候没有保险,而在扩展州,这一比例为36%。 Children in non-Medicaid expansion states faced higher coverage gaps, with 59% uninsured at some point compared to 36% in expansion states. 尽管联邦有关于12个月连续资格的规定,但大多数儿童有多重保险过渡,只有58%的儿童保持连续保险。 Despite federal rules for 12-month continuous eligibility, most children had multiple insurance transitions, with only 58% maintaining continuous coverage. 这项研究以国家数据和微观模拟模型为基础,突出了儿童健康保险的不稳定性,特别是在有严格资格规则的州。 The research, based on national data and a microsimulation model, highlights instability in children’s health insurance, especially in states with strict eligibility rules. 最近采取的联邦行动终止了多年连续资格豁免,并预计削减医疗援助计划将削减1万亿美元,这可能使获得援助的机会恶化,特别是非公民儿童以及面临工作要求或资格审查的家庭。 Recent federal actions ending multiyear continuous eligibility waivers and projected $1 trillion in Medicaid cuts could worsen access, particularly for noncitizen children and families facing work requirements or eligibility reviews.