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Reproduced from Alker, et al., 2020, "Children's Uninsured Rate Rises by Largest Annual Jump in More Than a Decade; Chart: Axios Visuals

A record 4.4. million children were without health insurance last year, an increase by about 320,000, an analysis of Census data shows.

Why it matters: After decades of decline, it's the third year in a row the nation has seen an increase in the number of uninsured children.

  • The numbers were recorded during steady economic growth — before the coronavirus and record unemployment.

The big picture: The number of uninsured children began to increase in 2017 as Medicaid and CHIP enrollment began to decline, the analysis from the Georgetown Center for Children and Families shows.

By the numbers: Twenty-nine states experienced growing uninsured rates among children from 2016-2019, with Texas accounting for more than one-third of uninsured children during this time period.

  • New York was the only state that had a significant improvement in uninsured children from 2016-2019.

What to watch: About 300,000 more children may be uninsured by the end of 2020 due to the pandemic, the Urban Institute estimates, meaning the rate of uninsured children will have increased every year under the Trump administration.

The bottom line: Children with health insurance have been proven to have better long-term health, fewer trips to the hospital and ER and better social outcomes like education and income.

Go deeper

Jan 14, 2021 - Health

Drug companies keep raising prices

Illustration: Rebecca Zisser/Axios

More than 100 pharmaceutical companies raised prices on over 600 drugs at the beginning of the new year, according to a new report from the advocacy group Patients for Affordable Drugs.

The big picture: Millions of people have lost their health insurance because of the pandemic, and uninsured patients must often pay the full sticker price for prescription drugs.

Scoop: Caitlyn Jenner makes it official for California governor

Caitlyn Jenner. Photo: Paul Archuleta/Getty Images

Former Olympic decathlete and reality TV star Caitlyn Jenner has filed her initial paperwork to run for governor of California and will officially announce her bid later today, her campaign tells Axios.

The big picture: Jenner, a longtime Republican, is seeking to replace Democratic Gov. Gavin Newsom in a recall election, hoping her celebrity status and name recognition can yield an upset in the nation's most populous state.

Kendall Baker, author of Sports
57 mins ago - Sports

New laws, new rules bring big changes to college sports

Illustration: Sarah Grillo/Axios

The college sports landscape could change more in the next six months than it has in the last 50 years, as the NCAA grapples with new competition, new laws and new rules.

How it works... 1. Startup leagues: Investors are flocking to new leagues that aim to compete with the NCAA, evidence of just how much opposition there is to the amateurism model — and how much belief there is in new ones.