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Salon
Salon
Science
Phil Galewitz

Stopping the Medicaid churn

Small boy getting a vaccine on his arm by a pediatrician wearing gloves. (Getty Images/Luis Alvarez)

Before the covid-19 public health emergency began in 2020, millions of children churned on and off Medicaid each year — an indication that many were losing coverage because of administrative problems, rather than because their family's income had increased and made them ineligible.

Spurred by pandemic-era lessons, several states are rethinking their enrollment policies for the youngest Medicaid members. Oregon is leading the way after getting federal approval to implement a new continuous-enrollment policy.

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