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In Lawsuit, Florida Seeks to Continue Removing Children From Medicaid Rolls

Governor Ron DeSantis (R-FL) Gage Skidmore

In a legal challenge that could have far-reaching implications for public health policy, Florida has launched a lawsuit against the Biden administration over a new policy affecting children’s health insurance. This dispute centers on the federal requirement that states maintain continuous enrollment for children in Medicaid and the Children’s Health Insurance Program (CHIP) for a full year before eligibility can be reevaluated, regardless of any life changes that could affect their qualification status, according to reporting by Axios.

The importance of this lawsuit extends beyond the legal arguments to the heart of public health policy and access to care for the most vulnerable. Since April, when Florida resumed eligibility checks paused during the pandemic, around 420,000 children have been removed from Medicaid and CHIP. This has raised concerns among health advocates about the potential for increased health insecurity among children, a demographic particularly sensitive to disruptions in care.

Florida’s argument hinges on the federal government’s interpretation of continuous enrollment laws, which, according to state officials, could undermine the financial integrity and sustainability of CHIP by preventing the state from removing individuals who no longer meet the eligibility criteria, including those unable to pay the program’s monthly premiums. This stance is contested by children’s health advocates, who argue that consistent access to healthcare is crucial for children’s development and well-being, suggesting that the lawsuit, if successful, could lead to detrimental “churn” in health insurance coverage for children.

As this legal battle unfolds, it will likely catalyze a broader debate on the balance between ensuring uninterrupted healthcare for children and managing the fiscal responsibilities of state-run health programs. With the Centers for Medicare and Medicaid Services (CMS) refraining from commenting on ongoing litigation, the outcome of Florida’s challenge remains to be seen, but its implications will undoubtedly resonate across the United States.

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