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Ohio Child Uninsurance Rises as CMS Rejects Coverage Waiver; New Study Shows Most Kids Use Medicaid

Fresh JAMA findings point to broad childhood dependence on public coverage, sharpening concern over stability following recent federal limits on continuous eligibility.

Overview

  • Ohio now has about 152,000 uninsured children, up by 30,000 since 2022, raising the child uninsured rate to 5.6% according to Georgetown’s analysis of Census data.
  • During the post‑pandemic eligibility reviews from March 2023 to March 2024, Ohio examined over 3.5 million cases and disenrolled more than 600,000 people.
  • CMS in July 2025 stopped approving multiyear continuous‑eligibility waivers for children, and federal officials declined Ohio’s request to keep kids covered through age four.
  • A Harvard T.H. Chan School study in JAMA estimates 61% of U.S. children enroll in Medicaid or CHIP by age 18 and 42% encounter coverage gaps, with far more disruptions in non‑expansion states (59% vs 36%).
  • Experts cite procedural errors, technology glitches and staffing strains as contributors to erroneous disenrollments, while CBO projects the July 2025 budget law will cut Medicaid funding by $1 trillion and reduce enrollment by 10–15 million.