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Healthy Futures: Ensuring Healthcare Access for Babies and Toddlers

Proposed Medicaid cuts are a threat to infant and toddler healthcare.

Access to healthcare is essential for babies’ healthy growth and development, yet proposed Medicaid cuts threaten to reduce critical services for young children and their families. Medicaid operates as a federal-state partnership, providing vital healthcare coverage to millions of infants and toddlers.

Without continued federal support, states may be forced to scale back services, leaving babies with reduced access to medical care or pushing families into financial hardship due to rising healthcare costs. Ensuring that all babies receive the medical attention they need is crucial to fostering a strong, healthy future.

Latest news and updates

Current events and policy changes can have profound effects on families, often increasing stress and even leading to trauma.

Our federal policy team is deeply involved in shaping decisions that impact the well-being of babies and their families. Stay up-to-date on our latest issues.

By the Numbers

Resources for professionals

Explore strategies and resources to help professionals provide compassionate, culturally responsive support to babies, toddlers, and their caregivers impacted by changes in healthcare access.

Medicaid is a vital federal/state partnership with both partners contributing resources and states having flexibility in how they design their program. Find resources below to help understand the impact of Medicaid and support those who may be impacted by healthcare coverage changes.

Many Medicaid recipients may be unaware that their benefits are at risk. Raising awareness about different program names can strengthen advocacy efforts. The programs below provide essential services for babies, toddlers and their families. Click on your state to learn more about these resources and Medicaid options for other populations.

 

  • Educate families about Medicaid eligibility and enrollment to ensure they remain covered as long as possible.
  • Provide information on CHIP (Children’s Health Insurance Program) as an alternative for families who may lose Medicaid coverage.
  • Share local resources for free or low-cost community clinics, Federally Qualified Health Centers (FQHCs), and telehealth services.
  • Assist families in finding medical providers who offer sliding-scale fees or financial assistance.
  • Help reduce stigma by providing a safe, nonjudgmental space to discuss healthcare challenges.
  • Stay informed on proposed Medicaid cuts and educate families about how these changes may impact them.
  • Encourage families to contact policymakers and share their experiences to advocate for continued healthcare support.
  • Collaborate with local and national organizations that are working to protect Medicaid and access to pediatric healthcare.
  • Partner with families to plan how they can maximize preventive care visits while they still have coverage to avoid gaps in care.
  • Provide guidance on accessing prescription assistance programs and medical supply support.
  • Inform families about how to appeal coverage denials or reductions in benefits.
  • Ensure children receive health screenings and early intervention services through partnerships with local health providers. If the child is enrolled in Head Start or Early Head Start, they may be eligible for a developmental screening, vision screening and an oral exam soon after beginning to attend.
  • Advocate for on-site health services in early childhood programs, including vision, hearing, and developmental screenings.
  • Promote access to mental health resources for children and caregivers experiencing stress due to healthcare insecurity.

Research and Literature on Medicaid's Impact

The Impact of Medicaid Restructuring on Young Children

This paper offers a detailed report about what is at stake for babies and their families as Congress and the Administration look to restructure and reduce funding for Medicaid.

The Long-Term Impacts of Medicaid Exposure in Early Childhood

This paper suggests that a full accounting of Medicaid expansions and other policies that aim to increase health insurance coverage, such as the ACA, should consider downstream benefits that accrue decades in the future.

Promoting Maternal and Child Health Through State Medical Coverage for Doula Care

One approach to improve maternal and infant health outcomes and address these historic inequities is to include payment for birth doula care in Medicaid programs.

Access to Medicaid and Healthcare Promotes Child Safety

Medicaid plays a critical role in safeguarding child well-being by reducing economic hardship and ensuring access to essential healthcare services.

Messages to Defend Against the Thread of Medicaid Cuts

The Cost & Coverage Collaborative, an initiative of the Robert Wood Johnson Foundation, conducted in-depth message research to better understand what arguments work to defend against cuts. Discover top strategies, workshop messaging, and discuss what’s next.

State of Babies Yearbook

The state where a baby is born and spends their first years also is a significant indicator as to whether a baby will have a strong start in life. See data from each state showing how well babies are set up for a strong start in life.

 

If services were cut we would be looking at either me trying to play the role of a therapist or waiting up to a year for a private clinic in hopes we don't lose the progress we've made for my daughter.

Resources for parents

Find guidance and tools for caregivers facing financial instability and limited access to healthcare and nutrition.

Affordable Care Act (ACA) Marketplace Plans – If a family no longer qualifies for Medicaid, they may be eligible for subsidized health plans through the ACA marketplace. Losing Medicaid qualifies as a special enrollment event.

  • Children’s Health Insurance Program (CHIP) – Even if parents lose Medicaid, their children may still qualify for CHIP.
  • Community Health Centers – Federally Qualified Health Centers (FQHCs) offer medical services on a sliding fee scale, regardless of insurance status. Find one at findahealthcenter.hrsa.gov.

 

Rural patients that need care the most are likely served by hospitals that are shedding vital services or are vulnerable to closure altogether.

Upcoming Events and Trainings

Rooted in trauma-informed practices, ZERO TO THREE’s virtual and in-person trainings offer the latest from our experts in early childhood development. 

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