Toward a More Equitable Future: Health Coverage

American children under age 18 have experienced historic gains in health coverage since major provisions of the Affordable Care Act (ACA) took effect. For Latino children, this progress has been particularly pronounced: while 19% of young Latinos in the United States were uninsured in 2008, by 2015 the share of uninsured Latino children dropped to 7.5%.

Preserving critical coverage programs like the ACA, Medicaid, and the Children’s Health Insurance Program (CHIP) would enable this downward trend to continue. On the other hand, repealing the ACA and weakening programs like Medicaid would have a highly detrimental impact not only on young Latinos, but on all of America’s children.

Indeed, because the Hispanic child population is growing rapidly, reductions in health coverage for this population could lead to a large portion of American children being uninsured in future years. By 2050, Latinos are expected to make up one-third of the U.S. child population. The following interactive projections describe three scenarios:

1. Constant Rate: Assuming health coverage rates remain constant over time (at 2015 levels), there will be 1.8 million Latino children without health insurance by 2040.

2. Racial Equality Rate: Assuming the share of children without health insurance for all racial groups converges with the 2015 share of White youth without coverage, there will be 1.3 million Latino children without health insurance by 2040.

3. Pre-ACA Rate: Assuming the share of children without health insurance returns to 2008 rates, 4.3 million Latino children will lack health insurance by 2040.



Given the rapid growth in the Latino child population rate, returning to pre-ACA coverage rates will mean that by the year 2040, 8.7 million of all American children will lack health insurance, with nearly half of uninsured children being Hispanic. This is more than double the number of American children predicted to lack insurance by then if today’s rate remains the same (4.0 million).

Protect and defend our children's future

In order to ensure that America’s children are well-positioned for good health and overall well-being, we protect and defend critical coverage pathways that collectively have resulted in historic coverage gains for our nation’s children and their families. Congress must not repeal the ACA without a simultaneous replacement plan that offers a comparable, if not better, quality of coverage; the Medicaid program must be protected from attempts to change its financing structure to a block grant or per capita cap; and CHIP must be reauthorized and include provisions that expand coverage to more children. 

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