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Getting 5 Million Uninsured Children Health Coverage

Author: HHS Press Office
Published: 2009/11/05 - Updated: 2026/02/03
Publication Type: Reports & Proceedings
Category Topic: Insurance - Related Publications

Page Content: Synopsis - Introduction - Main - Insights, Updates

Synopsis: This report from the U.S. Department of Health and Human Services outlines a federal initiative launched in 2009 to address the crisis of uninsured children across America. The information is authoritative because it comes directly from HHS Secretary Kathleen Sebelius and details a coordinated government effort following the passage of the Children's Health Insurance Reauthorization Act. Families with children who have disabilities or chronic health conditions will find this particularly relevant, as it identifies how millions of children already qualify for free or low-cost coverage through Medicaid and CHIP but remain unenrolled. The report provides actionable information about accessing these programs through insurekidsnow.gov and explains the $90 million in federal outreach grants designed to help communities connect eligible families with coverage, which can be crucial for children requiring ongoing medical care, therapy, or specialized services - Disabled World (DW).

Introduction

HHS Secretary Kathleen Sebelius has called on states and communities to join with HHS to redouble efforts to find and enroll the 5 million children who are currently eligible for Medicaid or the Children's Health Insurance Program (CHIP), but are not yet covered.

The Secretary issued this call to action as she opened the National Children's Health Insurance Summit in Chicago, kicking off the nation's largest campaign to find and enroll uninsured children in over a decade.

Main Content

Much progress has been made in recent years, but the enactment of the Children's Health Insurance Reauthorization Act (CHIPRA) creates new opportunities to move forward. At the same time, given the economic downturn, the need among families for affordable coverage for their children could not be greater. Not since the creation of CHIP in 1997 has the federal government, in conjunction with states, concentrated so many resources on the effort to find and enroll children who are needlessly going without health insurance coverage.

"As a society and as parents, we have no greater responsibility than to provide quality health care for our children," Secretary Sebelius said. "Our charge here today is to get all eligible children covered to ensure they are healthy throughout their childhood. A healthy child is the block upon which all other successes are built, not just for the child, but for the nation they will lead in the future."

In February, President Obama signed CHIPRA into law.

The legislation fully funds CHIP over the next four years and devotes an unprecedented amount of federal funding to support outreach and enrollment efforts for both CHIP and Medicaid. Currently, Medicaid serves more than 32 million low-income American children while CHIP has over 7 million beneficiaries.

Today's speech launched the three-day conference in Chicago sponsored by the Centers for Medicare & Medicaid Services (CMS) that has brought together state Medicaid and CHIP officials, local government, community-based organizations, safety net providers and others who are working to promote enrollment in children's health programs. These experts will exchange proven strategies for finding and enrolling children in health programs as well as removing program barriers that sometimes prevent children from staying in these programs despite continued eligibility.

Participants in the conference will also hear from experts on a wide range of specialized topics, such as reaching diverse or isolated populations, the usefulness of online applications and how to best work with managed care plans and other health care providers.

Also attending today's conference are grantees from 69 organizations across the country that were awarded $40 million by HHS to fund outreach projects in their local communities. Over the next four years, HHS will award a total of $90 million in outreach grants.

"With the nation's unemployment rate at a staggering 9.8 percent and families losing their job-related health care, finding and enrolling eligible children could never be more important," said Cindy Mann, director of the Center for Medicaid and State Operations within CMS. "Bringing together government officials, tribal leaders, community organizations and policy experts, we hope, will build on the successes achieved in recent years and lead to fresh, innovative and successful strategies to deliver quality health care to every eligible child in America."

Insights, Analysis, and Developments

Editorial Note: While this initiative marked a significant turning point in children's healthcare access, the challenge of reaching eligible families persists today. Many parents remain unaware that their children qualify for coverage, and administrative barriers continue to prevent enrollment even when families know about these programs. The collaboration between federal agencies, state governments, and community organizations outlined here represents a blueprint that remains relevant for addressing healthcare gaps. For families caring for children with disabilities or special healthcare needs, understanding these enrollment pathways can mean the difference between struggling with medical debt and accessing the consistent care that helps children reach their full potential - Disabled World (DW).

Attribution/Source(s): This quality-reviewed publication was selected for publishing by the editors of Disabled World (DW) due to its relevance to the disability community. Originally authored by HHS Press Office and published on 2009/11/05, this content may have been edited for style, clarity, or brevity.

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APA: HHS Press Office. (2009, November 5 - Last revised: 2026, February 3). Getting 5 Million Uninsured Children Health Coverage. Disabled World (DW). Retrieved February 19, 2026 from www.disabled-world.com/disability/insurance/uninsured-children.php
MLA: HHS Press Office. "Getting 5 Million Uninsured Children Health Coverage." Disabled World (DW), 5 Nov. 2009, revised 3 Feb. 2026. Web. 19 Feb. 2026. <www.disabled-world.com/disability/insurance/uninsured-children.php>.
Chicago: HHS Press Office. "Getting 5 Million Uninsured Children Health Coverage." Disabled World (DW). Last modified February 3, 2026. www.disabled-world.com/disability/insurance/uninsured-children.php.

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