Key Implementation Issues: Access to Coverage

The ACA provided states with a roadmap towards making health insurance coverage for most children and their families a reality. The significant changes made to Medicaid and CHIP’s eligibility and enrollment processes to align with the new health insurance marketplaces fulfill the ACA’s vision for a seamless “no wrong door” system for accessing coverage. However, the complexity of these changes and the focus on the newly eligible populations, who are primarily adults, suggests that children could get overlooked as states transition to a new health coverage landscape.

Increasing access to children’s coverage will require thoughtful implementation of outreach and consumer assistance, eligibility and enrollment, and affordability-related provisions of the ACA. The following sections highlight some of the key considerations and challenges in these areas for states committed to maintaining and increasing access to coverage for children through health care reform design and implementation.

Click on a link to the right to continue exploring challenges states may face related to how children access coverage