PA Partnerships for Children Report Finds Hundreds of Thousands of Children Without Health Insurance

Pennsylvania Partnerships for Children has released a new report that found more than 153,000 children in the state are currently without health insurance, which is the highest number in a decade.

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The 2025 State of Children’s Health Insurance found that the spike has taken place at a time when federal policy changes threaten to make matters worse. The recently-passed H.R. 1 includes nearly $1 trillion in Medicaid cuts over the next 10 years along with new work requirements and increased out-of-pocket costs. This could result in 310,000 Pennsylvanians losing health care coverage.

The report also found that disparities persist in a lack of coverage for children. A total of 7.3% of Hispanic children were uninsured, which is the highest in five years, while a total of 9% of children of other races did not have insurance.

More than 49,000 children who are eligible for Medicaid remain uninsured, the report said. Also, seven counties - Berks, Bucks, Chester, Delaware, Lancaster, Lehigh, and Philadelphia - account for 45% of all uninsured children.

Nearly 47% of Pennsylvania children rely on Medicaid, CHIP, or Pennie for health insurance. But with premium tax credits set to expire and marketplace costs rising, more families could lose access to affordable coverage, PA Partnerships for Children said.

For more information, read the entire report, which provides county-specific data.