KFF October 15, 2025
Elizabeth Williams, Robin Rudowitz

The uninsured rate, supplemental poverty rate, and food insecurity for children have all increased since the expiration of pandemic-era fiscal relief, and high household costs, including health care costs, are putting pressure on family budgets. After increasing during the pandemic, overall federal spending on children as a share of the economy (or GDP) has declined and is projected to continue to decline further over the next 10 years. At the same time, over the last decade, rates of chronic conditions among children, including obesity and mental health concerns, have increased. At the same time, children’s routine vaccination rates are declining, and many states are contending with measles outbreaks. Recent federal changes (Box 1), including the recently passed reconciliation law, administrative...

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Topics: CMS, Congress / White House, Govt Agencies, Insurance, Medicaid, Patient / Consumer, States
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