Resources for State Advocates

Together with our partners, we have helped prepare resources for state advocates to ensure that as states move forward with implementation of the ACA, health coverage for children and families is as strong as possible.

Making Health Insurance Exchanges Work for Children

One of the key features of ACA is the creation of health insurance marketplaces (formerly known as exchanges) in every state. These new sources of coverage will provide individuals and families in each state with coverage options that are easy to compare. Learn more about the key design and implementation components of state marketplaces that are needed to ensure they provide strong coverage and protections for children. Learn More

Defining Essential Health Benefits: What’s Needed for Children?

As each state opens its marketplace and selects which health insurance plans will be offered to consumers, the state must ensure that each plan covers the 10 required categories of Essential Health Benefits (EHB) as outlined in the ACA and subsequent regulations from the Department of Health and Human Services. While CDF was disappointed that states were given such flexibility to determine their EHBs for children, state advocates can follow the recommendations in this resource to encourage their state to develop EHB standards that meet the unique needs of children. Learn more

Ensuring Adequate Marketplace Provider Networks: What’s Needed for Children

Child health advocates must continue to work to ensure that the provider networks for the health plans in the state’s marketplace are robust and offer appropriate coverage for children.  This resource outlines the steps that states, providers, advocates and others can take to ensure pediatric provider networks will meet the needs of all children. Learn more

Aligning Eligibility for Children: Moving “Stairstep Kids” to Medicaid

Together with the Kaiser Commission on Medicaid and the Uninsured, our friends at the Georgetown Center for Children and Families have released a new paper that examines issues for children who moved from CHIP to Medicaid on January 1, 2014 (known as the "stairstep kids"). While many states already covered children in Medicaid up to 138 percent of poverty, the ACA now requires all states to cover children up to 138 percent of poverty in Medicaid. As a result, 21 states transitioned some children from CHIP to Medicaid. This report examines how this transition is already underway in some states; how it will affect children, families, and the states; and offers recommendations for the states to ensure no child falls through the cracks. Learn more