Gaps in Health Insurance
Children with special health care needs are no more likely than other children to lack health insurance entirely, and are less likely than children without special health care needs to go without health insurance for all or part of a year. Of CSHCN, 12.3 percent were either uninsured or experienced gaps in their insurance coverage in the past year, compared to 15.8 percent of non-CHSCN. The proportion of CSHCN who had gaps in their insurance in the past year ranged across States from 3.4 percent to 27.5 percent.
Gaps in health insurance are especially likely to occur among CSHCN in low-income households: among CSHCN with household incomes below 100 percent of the Federal poverty level (FPL), 19.6 percent were uninsured for all or part of the year, compared to 4.5 percent of CSHCN with household incomes of 400 percent of the FPL or more. Within lower-income households, children without special health care needs were more likely than CSHCN to have gaps in their insurance coverage.
CSHCN who have public insurance, such as Medicaid or the Child Health Insurance Program, are also more likely to experience gaps in their coverage. Of publicly insured CSHCN, 11.5 percent had gaps in their coverage, compared to 3.7 percent of privately insured CSHCN. These percentages were similar among non-CSHCN.