View the Latest: Children's Health Insurance Program (CHIP)
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New Guidance on Public Charge Determinations Does Not Specify Key Concepts, Likely Resulting in Immigrant Families Facing Ongoing Confusion and Fear
Quick InsightsWhile the DHS guidance provides more details on public charge determinations under the new rule, it leaves key concepts unspecified and grants substantial discretion to individual immigration officers. This will likely result in ongoing confusion and fear among immigrant families that may deter them and their citizen children from participating in programs that help pay for health care, housing, or food even if they are eligible.
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Optional Medicaid and CHIP Coverage for Lawfully Present Immigrant Children Could Mitigate Coverage Losses Due to 2025 Reconciliation Law
Issue BriefThis brief provides an overview of health coverage of noncitizen children to provide greater insight into the potential role of Immigrant Children’s Health Improvement Act (ICHIA) coverage in limiting the 2025 reconciliation law's impact on coverage for lawfully present immigrant children.
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New Regulation Prohibits Federal Medicaid Funds From Covering Gender-Affirming Medical Care for Young People
Quick InsightsIf states do not provide coverage with state-only dollars and [gender-affirming] care cannot be financed in other ways, thousands of young people could be without a way to access what remains a recommended medical intervention.
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New Public Charge Policies Will Likely Lead to Decreased Enrollment in Medicaid and CHIP
Quick InsightsBetween 1.4 to 4.1 million Medicaid and CHIP enrollees living in a household with a noncitizen could disenroll due to public charge and other immigration-related fears.
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Key Facts about the Uninsured Population
Issue BriefThe number and share of people without insurance grew in 2024, increasing for the first time since 2019, according to KFF's analysis of data from the American Community Survey (ACS). This issue brief describes trends in health coverage in 2024, examines the characteristics of the uninsured population , and summarizes the access and financial implications of not having coverage.
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Child Enrollment in Medicaid/CHIP Dropped Below Pre-Pandemic Levels for the First Time
Quick InsightsIn February 2026, there were 345,000 fewer children enrolled in Medicaid/the Children's Health Insurance Program (CHIP) compared to before the start of the pandemic in February 2020, a 1% decline, according to the latest data from CMS.
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State Health Coverage for Immigrants and Implications for Health Coverage and Care
Issue BriefNoncitizen immigrants, particularly those who are undocumented, face significant barriers to accessing health coverage and care and are significantly more likely than citizens to be uninsured. This brief provides an overview of state health coverage programs for immigrants, including among states that have taken up options in Medicaid and the Children’s Health Insurance Program (CHIP) to expand coverage for lawfully present immigrants and/or established fully state-funded programs to fill gaps in coverage for immigrants.
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Children in Immigrant Families: Key Facts on Health Coverage and Care
Issue BriefThis brief provides key data on socioeconomic characteristics and health coverage among children (aged 18 and under) of immigrants based on KFF analysis of 2024 American Community Survey data. It also examines potential implications of recent policies and actions on the health and well-being of children in immigrant families drawing on KFF survey data from Fall 2025.
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Medicaid and CHIP Eligibility, Enrollment, and Renewal Policies as States Prepare for Major Medicaid Policy Changes
ReportThe 24th annual survey of state Medicaid and CHIP program officials conducted by KFF and the Georgetown University Center for Children and Families (CCF) provides a baseline of state Medicaid and CHIP eligibility, enrollment, and renewal policies in place as of January 2026 as they prepare to implement the changes included in the 2025 reconciliation law.