As enrollment begins again, on Saturday, for Affordable Care Act health insurance, it is crucial to note that an important population—children—are still often uninsured. More than five million children in the United States lack any form of health insurance.
In North Carolina, this is particularly a problem within the Hispanic population. The state ranks among the top ten states with the highest number of uninsured Hispanic children, according to a joint report put out by Georgetown University’s Center for Children and Families and by the National Council of La Raza. The report found that 12.5% of Hispanic children in North Carolina are uninsured, which is higher than the national average of uninsured Hispanic children. Nationwide, Hispanic children tend to be twice as likely to be uninsured than their white non-Hispanic counterparts.
Contrary to popular belief, immigration status is not the main reason that these children don’t have health care coverage. The majority of Hispanic children in North Carolina are U.S. citizens and are eligible for a program such as ACA, Medicaid, or the Children’s Health Insurance Program which would provide them with health insurance at an affordable cost to their families.
The real barrier to enrollment in health insurance for Hispanic children, according to the report, can often be their parents’ limited English proficiency. A study found that more than one in eight Hispanic children, between the ages of 5 and 17, live in a household where English is spoken “less than well.” A parent with limited English proficiency may not be able to make it through a health care application in English which then results in an eligible child not getting health insurance.
Along with making Spanish language applications available for all health care programs in North Carolina, there needs to be an emphasis placed on educating Hispanic families about health care options for their children and assisting them with the enrollment process. The health care insurance options are available, we just need to do our part in getting these kids signed up.