Policy changes are impacting children and families enrolled in Medicaid and the Children’s Health Insurance Program (CHIP). The Academy is advocating to ensure children do not inappropriately lose coverage or experience disruptions in care, providing pediatricians with resources to communicate changes to patients, and AAP state chapters with information to navigate this process.


A policy that kept individuals continuously enrolled in Medicaid during the COVID-19 public health emergency (PHE) ended on March 31, 2023.

During the period of April 1, 2023 through July 31, 2024, states must check whether every person currently enrolled in Medicaid is still eligible, then either renew or terminate that person’s coverage. Those families who are no longer eligible for Medicaid may lose their coverage and/or be moved to other forms of coverage, like CHIP or the marketplace. This process of redetermining the eligibility of all 90 million Americans enrolled in Medicaid is being called the “unwinding.”

Forty-two million children – more than half of all kids in the US -- are covered by Medicaid and CHIP. Ensuring children do not inappropriately lose their health care coverage is critical to supporting their health and wellbeing. To help make this possible, states, pediatricians, and families must proactive steps – and AAP is here to offer support.


The AAP has a suite of resources to help members, patients, and families understand and navigate the Medicaid Unwinding. Below you will find practice resources to help AAP members communicate on the Medicaid Unwinding with patients and families, advocacy resources to help AAP chapters prevent children from losing affordable health care coverage, and practice guidance to help pediatric practices through the Unwinding period.

If you have questions on the Unwinding, need technical assistance, or would like to report a specific Unwinding-related issue to the AAP, please contact us.

Practice resources

Advocacy Resources

  • Advocacy Action Guide – Guide for advocates providing background information on the Unwinding, the changes implemented by the 2023 budget omnibus bill, and opportunities for state level advocacy and patient advocacy.
  • 50 State Update Your Contact Info Resource  – Info, where available, for each state on how Medicaid enrollees can update their address with their state Medicaid agency.


External Resources

Last Updated



American Academy of Pediatrics