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This Health Affairs blog post builds upon a recent report by the Georgetown University Center for Children and Families that found an increase in children’s uninsurance between 2016 and 2017. We find that the national uninsurance rate among parents did not improve between 2016 and 2017, consistent with other data sources finding that adults’ coverage gains under the ACA appear to be stalling. Further, while parents’ uninsurance rates were stable in expansion states, they rose significantly in nonexpansion states on average, parallel with increases in uninsurance among children in those states. Given the spillover benefits of parental coverage on children’s health and well-being, these coverage losses could place children at additional risk.

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