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Medicaid Expansion Could Narrow Health Coverage Gaps for Latino Families

Latino children and parents are disproportionately likely to be uninsured across the country, but the coverage gaps are wider and growing faster in states that have yet to adopt Medicaid expansion, according to a new report by the Georgetown University Center for Children and Families and UnidosUS.
State-level data reveal a wide range in uninsured rates for Latino parents, with a low of 7.7 percent in Massachusetts compared to a high of 52.5 percent in Tennessee in 2019. Texas and Florida alone are home to more than a third of all uninsured Latino parents and nearly half of all uninsured Latino children. While California is also home to a large number of uninsured Latino parents and children, their uninsured rates are well below the national average for both Latino parents and children (18.0 percent and 4.7 percent, respectively)
The report also takes a closer look at the occupations of the Latino parents that would most likely benefit from Medicaid expansion and finds many of them are in jobs considered “essential” during the pandemic.
“The health and economic crises of the past year have only highlighted the need to act quickly to cover more children and families. Medicaid expansion is not only a smart fiscal decision,” said Matthew Snider, UnidosUS senior health policy analyst and co-author of the report. “It can also help address the longstanding health disparities impacting Latinos and extend quality health coverage to many essential workers who put themselves and their families at greater risk during the pandemic. It's time for states to use the levers already at their disposal to meaningfully advance health equity.”
States already had access to generous federal financing to expand Medicaid. The recently-passed American Rescue Plan Act (ARPA) gives states that have not yet expanded Medicaid even more financial incentives to adopt Medicaid expansion and begin to address the coverage gaps which undermine Latino parents’ and children’s health.
“The benefits of Medicaid coverage for children and parents are clear: improved health and educational attainment for children, better access to care for the whole family, and financial security for parents,” said Kelly Whitener, Georgetown University McCourt School of Public Policy research professor and co-author of the report. “State policymakers have an opportunity and responsibility to show their commitment to equitable coverage by expanding Medicaid. Doing so would narrow disparities in coverage for Latino parents and children, and ensure that more families have the support needed to thrive.”
The report also includes recommendations to reach eligible but unenrolled Latino children and families in states that have expanded Medicaid.

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UnidosUS, previously known as NCLR (National Council of La Raza), is the nation’s largest Hispanic civil rights and advocacy organization. Through its unique combination of expert research, advocacy, programs, and an Affiliate Network of nearly 300 community-based organizations across the United States and Puerto Rico, UnidosUS simultaneously challenges the social, economic, and political barriers that affect Latinos at the national and local levels. For more than 50 years, UnidosUS has united communities and different groups seeking common ground through collaboration, and that share a desire to make our country stronger. For more information on UnidosUS, visit or follow us on Facebook and Twitter.
The Georgetown University Center for Children & Families (CCF) is an independent, nonpartisan policy and research center. As part of the McCourt School of Public Policy, CCF provides research, develops strategies, and offers solutions to improve the health of America’s children and families, particularly those with low and moderate incomes. For more information about Georgetown CCF, visit
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