This article examines children's health coverage today and explores the ways and means to ensure its financial sustainability and the factors associated with it. As extensively argued, long term negative effects could be on health, education, and financial success as an adult. It also suggests that reductions in children's coverage could have…

The recent passage of H.R. 1 by a partisan Congress chooses billionaires over babies, and puts children in unprecedented peril. This Issue Brief describes some of the many ways that H.R. 1 will hurt children in the U.S. and even around the world in the very near term and in the years to come, including that it: (1) Cuts $1 trillion from Medicaid…

The House has passed a budget reconciliation bill that supporters are referring to as a "one big, beautiful bill." However, the authors of this Issue Brief believe that this budget bill threatens the health and nutrition of millions of children and pushes millions of children into poverty in order to provide tax credits for corporations,…

This appendix describes the data and methodology used to estimate federal program and tax expenditures on children in "Kids' Share 2021: Report on Federal Expenditures on Children through 2020 and Future Projections" (ED616306). The following contents are included in this appendix: (1) Introduction; (2) Summary Table of Multipliers and…

Each year, effective federal programs give parents the power to provide their children with affordable healthcare, nutritious food, stable housing, and early childhood education. These programs lift millions of children out of poverty, but also have long-term benefits--children in families who accessed these programs have higher educational…

Public spending on children represents an effort to invest in the nation's future by supporting children's healthy development and human potential. To inform policymakers, children's advocates, and the general public about how public funds are spent on children, this 15th edition of the annual "Kids' Share" report provides an updated…

This paper examines the U.S. social insurance system, which we define broadly to include both programs supported by dedicated taxes and other federal programs that provide income support, assistance in meeting basic needs, or services to improve economic opportunity. The paper considers the social insurance system as a whole as well as its…

Public spending on children by federal, state, and local governments is an investment in the nation's future because it supports children's healthy development, helping them fulfill their potential. To help interested stakeholders assess the government's investment in children, this 11th edition of the annual "Kids' Share" report…

Much attention has aided measurement and improvement in the quality of health care during the past two decades, with new ways to define and measure quality, recognition that doing so can identify strategies to enhance care, and systematic efforts by both government and private insurers to apply these principles. In this article, James Perrin…

Many federal assistance programs are funded by formula grants that have historically relied at least in part on population data from the decennial census and related data to allocate funds. In June 2009, the Census Bureau reported that in fiscal year 2007 the federal government obligated over $446 billion through funding formulas that rely at…

The Children's Health Insurance Program Reauthorization Act (CHIPRA) of 2009 gave states additional resources and tools aimed at improving participation in Medicaid and the Children's Health Insurance Program (CHIP). In 2007, five million uninsured children were eligible for Medicaid or CHIP, constituting 64 percent of all uninsured children.…

This paper describes the State Children's Health Insurance Program's (SCHIP's) financing system, examining two alternatives under consideration for changing the system of redistributing unspent SCHIP funds. Section 1 presents background on SCHIP's financing structure (it is a block grant program, each state's share of federal SCHIP funds is…