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Closing postpartum coverage gaps and improving continuity and affordability of care through a postpartum Medicaid/CHIP extension
Closing postpartum coverage gaps and improving continuity and affordability of care through a postpartum Medicaid/CHIP extension
The current public health insurance landscape for postpartum women leaves many new mothers uninsured during the first year after pregnancy, because eligibility for pregnancy-related Medicaid/Children’s Health Insurance Program (CHIP) coverage ends 60 days after pregnancy ends. Still other postpartum women may face obstacles while transitioning to another coverage type when pregnancy-related Medicaid/CHIP ends. In response to the maternal morbidity and mortality crisis in the United States—in which many poor outcomes occur postpartum—federal and state policymakers have proposed policies that would extend, or provide states the option to extend, pregnancy-related Medicaid/CHIP coverage for a full 12 months postpartum. In this report, we assess how many uninsured new mothers would likely benefit from a 12-month postpartum Medicaid/CHIP extension, based on state of residence, income, citizenship status, and other eligibility criteria. To do so, we analyze prepandemic 2016–18 American Community Survey data, using the Urban Institute Health Policy Center’s Medicaid/CHIP Eligibility Simulation Model.1 We define new mothers as women ages 19 to 44 who reported giving birth in the prior year and uninsured new mothers as those who reported not having insurance coverage within the first year postpartum at the time of the survey.
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