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Home/Resources/Infant and Early Childhood Mental Health/Healthy Futures: Ensuring Healthcare Access for Babies and Toddlers
  • February 19, 2025
Infant and Early Childhood Mental HealthPhysical Health & NutritionState and Local Policy

Healthy Futures: Ensuring Healthcare Access for Babies and Toddlers

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    Proposed Medicaid cuts are a threat to infant and toddler healthcare.

    Access to healthcare is essential for babies’ healthy growth and development, yet proposed Medicaid cuts threaten to reduce critical services for young children and their families. Medicaid operates as a federal-state partnership, providing vital healthcare coverage to millions of infants and toddlers.

    Without continued federal support, states may be forced to scale back services, leaving babies with reduced access to medical care or pushing families into financial hardship due to rising healthcare costs. Ensuring that all babies receive the medical attention they need is crucial to fostering a strong, healthy future.

    Latest news and updates

    Current events and policy changes can have profound effects on families, often increasing stress and even leading to trauma.

    Our federal policy team is deeply involved in shaping decisions that impact the well-being of babies and their families. Stay up-to-date on our latest issues.

    what's at stake
    Get updates

    By the Numbers

    42%

    Medicaid currently finances over 42% of all US births – more than 1.4 million in 2023.

    81%

    Medicaid is the largest source of health insurance for children living in poverty, serving 81% of children under the age of six. 

    44%

    44 percent of babies and young children in America receive their health care through Medicaid. In small towns and rural areas, that number is 47%

    99%

    99% of children in the foster care system receive health coverage through Medicaid. Babies and toddlers represent 33% of foster care entries.

    120

    Hospitals in rural areas disproportionately rely on Medicaid to fund service delivery. In the past ten years 120 rural hospitals have either closed or eliminated inpatient services. 

    More data on medicaid

    Resources for professionals

    Explore strategies and resources to help professionals provide compassionate, culturally responsive support to babies, toddlers, and their caregivers impacted by changes in healthcare access.

    Medicaid is a vital federal/state partnership with both partners contributing resources and states having flexibility in how they design their program. Find resources below to help understand the impact of Medicaid and support those who may be impacted by healthcare coverage changes.

    Ensure Recipients Understand Medicaid May be Called Something Different in their State

    Many Medicaid recipients may be unaware that their benefits are at risk. Raising awareness about different program names can strengthen advocacy efforts. The programs below provide essential services for babies, toddlers and their families. Click on your state to learn more about these resources and Medicaid options for other populations.

     

    • Alabama: Medicaid
    • Alaska : DenaliCare, Denali KidCare
    • Arizona: Arizona Health Care Cost Containment System (AHCCCS)
    • Arkansas: ARHOME, ARKids A
    • California: Medi-Cal
    • Colorado: Health First Colorado
    • Connecticut: HuskyHealth (A&B)
    • Delaware: Medicaid, Diamond State Health Plan (Plus)
    • Florida: Statewide Medicaid Managed Care Program (SMMC)
    • Georgia: Georgia Families, Planning for Healthy Babies (P4HB)
    • Hawaii : MedQuest
    • Idaho: Medicaid
    • Illinois: Medical Assistance Program
    • Indiana: Hoosier Healthwise, Hoosier Care Connect, M.E.D. Works, Health Indiana Plan (HIP), Traditional Medicaid
    • Iowa: IA Health Link
    • Kansas: KanCare Medical Assistance Program
    • Kentucky: Medicaid
    • Louisiana: Healthy Louisiana, LaMoms, Medicaid
    • Maine: MaineCare
    • Maryland: HealthChoice, Medicaid
    • Massachusetts: MassHealth
    • Michigan: Medicaid, MiChild
    • Minnesota: Medical Assistance (MA)
    • Mississippi: Mississippi Coordinated Access Network (MississippiCAN)
    • Missouri: MO HealthNet
    • Montana: Medicaid, Healthy Montana Kids (HMK) Plus
    • Nebraska: Medicaid, Heritage Health
    • Nevada: Medicaid
    • New Hampshire: NH Medicaid, Medical Assistance
    • New Jersey: NJ FamilyCare
    • New Mexico: Turquoise Care
    • New York: Medicaid 
    • North Carolina: NC Medicaid
    • North Dakota: North Dakota Medicaid Expansion Program
    • Ohio: Medicaid  
    • Oklahoma: SoonerCare
    • Oregon: Oregon Health Plan (OHP)
    • Pennsylvania: HealthChoices, Medicaid/Medical Assistance (MA)
    • Rhode Island: Medicaid
    • South Carolina: Healthy Connections
    • South Dakota: South Dakota Medicaid
    • Tennessee: TennCare
    • Texas: STAR, STAR Kids, STAR Health
    • Utah: Medicaid
    • Vermont: Dr. Dynasaur, Green Mountain Care, Medicaid
    • Virginia: Cardinal Care, Virgina Medicaid
    • Washington: Apple Health, Medicaid
    • Washington D.C. : Healthy Families
    • West Virginia: Medicaid
    • Wisconsin: Medicaid
    • Wyoming: Medicaid
    Connect Families to Healthcare Resources
    • Educate families about Medicaid eligibility and enrollment to ensure they remain covered as long as possible.
    • Provide information on CHIP (Children’s Health Insurance Program) as an alternative for families who may lose Medicaid coverage.
    • Share local resources for free or low-cost community clinics, Federally Qualified Health Centers (FQHCs), and telehealth services.
    • Assist families in finding medical providers who offer sliding-scale fees or financial assistance.
    • Help reduce stigma by providing a safe, nonjudgmental space to discuss healthcare challenges.
    Advocate for Medicaid Protections
    • Stay informed on proposed Medicaid cuts and educate families about how these changes may impact them.
    • Encourage families to contact policymakers and share their experiences to advocate for continued healthcare support.
    • Collaborate with local and national organizations that are working to protect Medicaid and access to pediatric healthcare.
    Help Families Navigate Healthcare Options
    • Partner with families to plan how they can maximize preventive care visits while they still have coverage to avoid gaps in care.
    • Provide guidance on accessing prescription assistance programs and medical supply support.
    • Inform families about how to appeal coverage denials or reductions in benefits.
    Support Health & Wellness in Child Care and Early Learning Settings
    • Ensure children receive health screenings and early intervention services through partnerships with local health providers. If the child is enrolled in Head Start or Early Head Start, they may be eligible for a developmental screening, vision screening and an oral exam soon after beginning to attend.
    • Advocate for on-site health services in early childhood programs, including vision, hearing, and developmental screenings.
    • Promote access to mental health resources for children and caregivers experiencing stress due to healthcare insecurity.

    Medicaid is Essential in Addressing the US Maternal Morbidity and Mortality Crisis

    When women are enrolled in Medicaid before and after birth, they experience less depression, lower mortality, and their infants have healthier birth outcomes.

    learn more

    Research and Literature on Medicaid's Impact

    The Impact of Medicaid Restructuring on Young Children

    This paper offers a detailed report about what is at stake for babies and their families as Congress and the Administration look to restructure and reduce funding for Medicaid.

     
    Read now

    The Long-Term Impacts of Medicaid Exposure in Early Childhood

    This paper suggests that a full accounting of Medicaid expansions and other policies that aim to increase health insurance coverage, such as the ACA, should consider downstream benefits that accrue decades in the future.

    read now

    How Medicaid Supports Early Intervention for Infants and Toddlers with Disabilities and Developmental Delays

    Learn what proposed federal Medicaid cuts could mean for early intervention programs and young children who need Part C services.

     
    watch now

    Access to Medicaid and Healthcare Promotes Child Safety

    Medicaid plays a critical role in safeguarding child well-being by reducing economic hardship and ensuring access to essential healthcare services.

    read now

    Messages to Defend Against the Thread of Medicaid Cuts

    The Cost & Coverage Collaborative, an initiative of the Robert Wood Johnson Foundation, conducted in-depth message research to better understand what arguments work to defend against cuts. Discover top strategies, workshop messaging, and discuss what’s next.

     
    Learn More
    watch now

    State of Babies Yearbook

    The state where a baby is born and spends their first years also is a significant indicator as to whether a baby will have a strong start in life. See data from each state showing how well babies are set up for a strong start in life.

     
    explore now

    If services were cut we would be looking at either me trying to play the role of a therapist or waiting up to a year for a private clinic in hopes we don't lose the progress we've made for my daughter.

    Shiloh, mother of two
    Listen Now

    Resources for parents

    Find guidance and tools for caregivers facing financial instability and limited access to healthcare and nutrition.

    Healthcare Marketplace

    Affordable Care Act (ACA) Marketplace Plans – If a family no longer qualifies for Medicaid, they may be eligible for subsidized health plans through the ACA marketplace. Losing Medicaid qualifies as a special enrollment event.

    Other Assistance
    • Children’s Health Insurance Program (CHIP) – Even if parents lose Medicaid, their children may still qualify for CHIP.
    • Community Health Centers – Federally Qualified Health Centers (FQHCs) offer medical services on a sliding fee scale, regardless of insurance status. Find one at findahealthcenter.hrsa.gov.

     

    Medicaid Plays A Key Role for Maternal and Infant Health in Rural Communities

    This report from the Georgetown University Center for Children and Families (CCF) shows how Medicaid is a vital source of health coverage for women of childbearing age across the US, but is even more important to those living in small towns and rural communities than metro areas. 

    See More

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