Medicaid Unwinding Highlights Need for Stronger Federal Oversight To Protect Children’s Coverage

Beginning in April 2023, states began “unwinding” the pandemic-related continuous coverage requirement in Medicaid, which prohibited states from disenrolling Medicaid enrollees during the public health emergency. The unwinding process revealed that many states’ systems and renewal processes have been out of compliance with federal requirements, with many of the compliance issues disproportionately affecting children. This Urban Institute resource proposes that the Centers for Medicare & Medicaid Services could provide stronger federal oversight and accountability for improving Medicaid eligibility and redetermination systems to ensure eligible children retain coverage.