WASHINGTON, D.C. – Today, U.S. Reps. Kathy Castor (FL-14) and Derek Tran (CA-45) reintroduced legislation to provide continuous health care coverage for eligible children in Medicaid and CHIP. The Keep Kids Covered Act would expand the 12-month continuous eligibility (CE) protection for children, providing uninterrupted coverage for children until age 6 – a crucial time for their development – and for a 24-month period for children age 6 to 19.

Continuous eligibility requires states to cover children in CHIP and Medicaid for a defined period of time – without coverage lapse – regardless of changes in circumstances. Access to consistent, high-quality coverage is crucial for children’s development and well-being, particularly in their early years, enabling them to grow into healthy and productive adults. Not only does CE improve short- and long-term health coverage, it lowers costs and reduces churn and financial barriers to care. Too many children who are eligible for Medicaid or CHIP have lost coverage for procedural reasons, like missing paperwork. The Keep Kids Covered Act would ensure kids and families across the country have access to the lifesaving care they need and deserve. The bill would also ensure that former foster youth have CE until age 26, as the Affordable Care Act intended. 

Over 37 million children rely on Medicaid and CHIP across the country, but Congressional Republicans’ Big Ugly Budget Bill puts children’s health at risk. At President Trump’s urging, they are cutting $1 trillion in funding from Medicaid, CHIP and the Affordable Care Act and enacting policies that will strip coverage from millions of children in order to give tax breaks to the wealthy and well-connected. Last week, President Trump announced that states will no longer be able to provide enhanced CE for kids with Medicaid and CHIP coverage. And in Florida, Governor DeSantis continues to break the law by throwing children off the state’s CHIP program in violation of the federal 12-month CE protection. Legislation like the Keep Kids Covered Act would act as a bulwark against these harmful state policies.

“In Florida and across the country, children pay the price when politicians rip health coverage away and create bureaucratic barriers to care,” said Rep. Castor. “The Keep Kids Covered Act will ensure eligible kids across the country can access reliable, stable Medicaid and CHIP coverage so they can live happy, healthy lives. Research has shown that children with health coverage do better in school and grow into more successful adults, lowering costs for everyone. While Congressional Republicans and President Trump have spent the past few months making it more difficult and expensive for kids to access critical health coverage, Democrats are fighting to protect our kids and their future. I’m grateful to my colleague Rep. Derek Tran, as well as the child and family advocates, for their partnership and support of this critical legislation.”

"As a father of young kids, I know how critical adequate health care is for our children to grow and thrive. No child should be denied access to medical treatment because President Trump and Congressional Republicans wanted to give their billionaire friends a tax break,” said Rep. Tran. “I’m proud to join Rep. Castor in introducing the Keep Kids Covered Act to bring down costs for hard-working families and ensure high-quality access to health care so all of our kids can stay healthy.”

“In the face of Republicans’ biggest attack on health care access yet, I’m grateful to Rep. Castor for her persistence in protecting health care for our nation’s children,” said Energy and Commerce Committee Ranking Member Frank Pallone, Jr. (NJ-06). “As the Big Ugly Bill is set to take health care away from millions of Americans, Democrats will keep fighting to minimize coverage gaps, burdensome paperwork requirements, and price hikes for families. The Keep Kids Covered Act is a critical tool in this fight against Republican cuts and will ensure young children continue to have health care coverage.”

“Pediatricians know how vital it is that children have uninterrupted access to health care coverage that supports them as they grow and develop. As its name states, the Keep Kids Covered Act would help ensure children enrolled in Medicaid and CHIP do not face gaps in coverage, providing families with certainty that their children can continue to receive the health care they need. The American Academy of Pediatrics thanks Representative Kathy Castor (D-Fla.) for introducing this important legislation and calls on lawmakers to swiftly advance it,” said Susan J. Kressly, MD, FAAP, American Academy of Pediatrics President.

“Every child deserves the opportunity to grow and thrive, and no child should miss out on essential health care because of a lapse in coverage,” said Margaret A. Murray, CEO of the Association for Community Affiliated Plans (ACAP). “For more than 20 years, ACAP has advocated for continuous eligibility for all people covered by Medicaid. We’re pleased that Representative Castor’s reintroduction of the Keep Kids Covered Act advances this priority by ensuring continuous coverage for children enrolled in Medicaid and CHIP.”

“First Focus Campaign for Children strongly supports the reintroduction of the Keep Kids Covered Act led by Representative Kathy Castor. The legislation makes an important investment in children by ensuring that they have continuous eligibility in Medicaid and the Children’s Health Insurance Program (CHIP) during their earliest and most critical years of development. This guarantee of coverage provides a powerful antidote to the recently passed budget reconciliation package, which cuts Medicaid and CHIP by hundreds of billions of dollars, jeopardizing the health and well-being of over 37 million children. The Keep Kids Covered Act is a practical, common-sense approach that will provide kids in Medicaid and CHIP with consistent health care coverage, laying a foundation of care that will benefit them throughout their lives.” — Bruce Lesley, President, First Focus Campaign for Children.

“Rep. Kathy Castor is fighting to protect children’s health care in the wake of Donald Trump and Republicans’ health care emergency,” said Protect Our Care Chair Leslie Dach. “Republicans’ actions are ripping coverage away from hard-working families and putting children at risk, but Democrats are working to ensure kids can stay covered and get the care they need to grow up healthy and strong. No child should lose care just because Republicans want to fund tax breaks for billionaires and big corporations.”

“Children’s hospitals witness the critical role Medicaid and CHIP play in providing essential care to more than half of the children they treat, particularly those with serious and complex medical needs. The Keep Kids Covered Act addresses the pressing issue of coverage gaps that can disrupt this vital care, ensuring that no child’s health suffers due to administrative hurdles. By providing continuous, multi-year coverage, this legislation offers much-needed stability and peace of mind to families facing challenging health circumstances. We commend Representatives Castor and Tran for their leadership in making sure all children have access to the consistent care they need to lead healthy, successful lives,” said Matthew Cook, President and CEO of the Children’s Hospital Association.

In addition to Reps. Castor and Tran, the Keep Kids Covered Act is cosponsored by Reps. Kim Schrier, Raul Ruiz, Marc Veasey, Nanette Barragán, Lizzie Fletcher, Greg Landsman, Jan Schakowsky, Jennifer McClellan, Darren Soto, Troy Carter, and Doris Matsui. 

Endorsing organizations include: American Academy of Pediatrics, American Nurses Association, American Psychiatric Association, Association for Community Affiliated Plans, Association of Maternal & Child Health Programs, BayCare Health System—St. Joseph’s Children’s Hospital, Child Welfare League of America, Children’s Defense Fund, Children’s Hospitals Association, Colorado Children’s Campaign, Families USA, First Focus Campaign for Children, Florida Health Justice Project, Florida Policy Institute, Florida Voices for Health, March of Dimes, National Association of Pediatric Nurse Practitioners, National Foster Youth Institute, National League for Nursing, Nemours Children’s Health, Primary Care Development Corporation, Protect Our Care, The Center for Law and Social Policy, UnidosUS, ZERO TO THREE.  

The full bill text of the legislation can be viewed here.

A one-pager about the legislation is available here.