News Release

Insurance dynamics during childhood in the fragmented US health system

JAMA

Peer-Reviewed Publication

JAMA Network

About The Study: An estimated 3 of 4 U.S. children relied on publicly subsidized insurance (Medicaid, Children’s Health Insurance Program [CHIP], or Marketplace) or experienced a period without any insurance by their 18th birthday in the post-Affordable Care Act (ACA), pre-pandemic policy environment. Substantial state heterogeneity in childhood un-insurance underscores the critical role of Medicaid policies.

Corresponding Author: To contact the corresponding author, Ye Shen, MSPH, email ye_shen@fas.harvard.edu.

To access the embargoed study: Visit our For The Media website at this link https://media.jamanetwork.com/

(doi:10.1001/jama.2025.15488)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

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