Salt Lake City - Voices for Utah Children released publicly today (January 6, 2021)  "#InvestInUtahKids: An Agenda for Utah's New Governor and Legislature," the first major publication of our new #InvestInUtahKids initiative. 

Utah begins a new era in this first week of January, with the swearing in of a new Governor and Lt. Governor and a new Legislature. The arrival of 2021 marks the first time in over a decade that the state has seen this kind of leadership transition. Last month Voices for Utah Children began sharing with the Governor-elect and his transition teams the new publication, and on Wednesday morning Voices will share it with the public as well.

The new publication raises concerns about the growing gaps among Utah's different racial, ethnic, and economic groups and lays out the most urgent and effective policies to close those gaps and help all Utah children achieve their full potential in the years to come in five policy areas: 

  • Early education 
  • K-12 education 
  • Healthcare
  • Juvenile justice
  • Immigrant family justice

The report, which was initially created in December and distributed to the incoming Governor and his transition teams, closes with a discussion of how to pay for the proposed #InvestInUtahKids policy agenda. The pdf of the report can be downloaded here

Published in News & Blog
July 30, 2020

Children’s Health

A Healthy Foundation for All Utah Kids to Thrive

Children and families need access to affordable, quality, health care. Health insurance provides a critical foundation for kids, so they can stay healthy, manage health conditions or problems, perform better in school, be active and thrive. ALL Utah kids should have access to health insurance. 

Unfortunately, too many Utah children do not have access to health coverage. Utah has:

  • One of the highest rates of uninsured children in the nation, 82,000 children (8%).
  • The highest rate of uninsured Hispanic/ Latinx children in the nation (19%).
  • The highest rate of children currently eligible for health insurance, but not enrolled. 

To address these problems, Voices for Utah Children works to strengthen health care access for families. Utah parents are working hard every day to make sure their kids are healthy, we need to make sure our healthcare policies are working for them.  

How do we do we reach 100% coverage and care for Utah kids?

  • Protect the foundational coverage that CHIP and Medicaid provides 
  • Connect Kids to Coverage! Improve children’s ability to access affordable, high-quality care 
  • Support Parent Coverage! It is critical for kids.
  • Cover All Kids! Remove all barriers to coverage.

Together we can help all kids be healthy and reach their full potential! Join our coalition of over 25 organizations who endorsed our 100% Kids Coverage Campaign to ensure all children in Utah have access to care! Click hear to sign on to our campaign today.

  • Alliance for a Better Utah
  • Catholic Diocese of Salt Lake City
  • Centro de la Familia de Utah
  • Centro Cívico Mexicano
  • Coalition of Religious Communities
  • Community Health Connect
  • Community Health Workers Section -UPHA
  • Comunidades Unidas
  • Consulate of Mexico in Salt Lake City
  • Crossroads Urban Center
  • Family Healthcare in St. George
  • Friends of the Children - Utah
  • Granite Education Foundation
  • Holy Cross Ministries
  • International Rescue Committee
  • Kids Who Count
  • Neighborhood House
  • Neighborworks Salt Lake
  • NW Salt Lake Rotary Club
  • OCA Asian Pacific Islander American Advocates Utah (OCA UTAH)
  • People’s Health Clinic
  • Primary Children’s Hospital
  • Root for Kids
  • Salt Lake City Mayor's Office
  • Salt Lake County Mayor's Office for New Americans
  • Smart Smiles School-Based Oral Health Program (Denticare Management)
  • The University of Utah Health Plans
  • Utah Health Policy Project
  • Utah Dental Hygienists' Association
  • Utah Chapter American Academy of Pediatrics
  • University Health Communities Clinics
  • YWCA of Utah
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Let’s Keep All Families Covered: New Report Finds Number of Uninsured Latino Children in Utah on the Rise

2020 Utah Legislature Made Strides to Help All Children Stay Covered

Decades of progress improving health coverage rates for Latino children has begun to erode nationwide, and Utah is seeing significant increases in both the number and rate of children going without insurance, according to a new report by UnidosUS and Georgetown University Center for Children and Families. These findings raise concerns that many children may not be able to access the health care they need during the COVID-19 pandemic.

Utah’s rate of uninsured Latino children rose faster than the national average, a statistically significant increase from 11.1 to 17.3 percent between 2016 and 2018. The number of children increased by about 60 percent, from about 18,900 to more than 30,200. What’s more, Latino children are almost 3½ times as likely to be uninsured as non-Latino children in Utah in 2018, a gap that is greater than the national average.

The report authors point to Trump Administration policies and rhetoric targeting immigrant families, as well as efforts to undermine health care programs, which have made it more difficult for families to sign their eligible children up for public health coverage. These national factors may influence children in Utah and the trend in the wrong direction.

During the 2020 Legislative Session, the Utah Legislature took a significant measure to reverse this trend and improve coverage for all Utah children by appropriating funding to keep children covered, a policy known as Medicaid 12-month continuous eligibility. Continuous eligibility ensures children can maintain stable, year-round health coverage, even if parents experience temporary changes in income or employment status, especially important given the abrupt changes many low-income families are experiencing now.

State Senator Luz Escamilla, champion for 12-month continuous coverage and children’s health care, said: “Health coverage is critical for all children because it improves their health and educational outcomes during childhood and sets them up for a healthier and more prosperous future with better opportunities to reach their full potential.” Said Senator Escamilla, “The actions this session show that working together we can make progress to help Utah kids.”

A policy of continuous coverage is a key priority of the 100% Kids Coverage Campaign, led by Voices for Utah Children, to ensure that all children in the state have health coverage. The campaign also calls for more Medicaid and CHIP outreach and coverage for children regardless of their family immigration status. Report lead author, Kelly Whitener notes, “The majority of uninsured children are eligible for affordable health coverage through Medicaid or CHIP but not enrolled.”

Voices for Utah Children policy analyst, Ciriac Alvarez Valle said, “Going forward, we will work to help more children and families get covered and overcome barriers to enrollment and care.” Alvarez Valle added, “No family should be afraid to get the care they need. We call on our state leaders to help Utah families feel safe getting health care now.”

For help enrolling in health insurance, visit:  or call 2-1-1

For the full report:


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It’s been a busy end-of-year for Utah kids’ health coverage, from ACA open enrollment to full Medicaid expansion (almost!). Here’s what’s been going on and what lies ahead in 2020...

Where are Utah kids going??

At the last Utah Medicaid Advisory Committee meeting, we learned that 398 children dis-enrolled from Medicaid and CHIP in October. While this is better than the 2,637 who lost coverage the previous month (no, that’s not a typo), the question remains: Where are these kids going?? Are they moving over to the private insurance market? Or are they uninsured? Unfortunately, we still don’t know.

American Community Survey data suggest lower income children are the most likely to be uninsured in Utah. However, we do not have good real-time data to track why Utah kids are dis-enrolling from Medicaid or CHIP at such an unprecedented rate.

Reasons for this coverage loss may include red tape and confusion about children’s health insurance options, and federal anti-immigrant hostilities creating a climate of fear for many families. But again, our best data has a one-year lag time. It is critical we make sure kids are getting connected with health insurance now. We know from research that when kids go uninsured it has a negative impact on their life trajectory.

We commend our state agencies for their attention to this issue; we urge them to survey families who recently lost coverage so that we can make sure kids are getting covered and staying covered.

Full Medicaid expansion*… coming soon to Utah?

In November, the Utah Department of Health submitted its “fallback” waiver request to fully expand Medicaid! On December 7th, the federal comment period closed. THANK YOU to the over 4,800 people who submitted federal and state comments.

We now await federal approval for Utah to enact full Medicaid expansion. It’s been a long, complicated road, but we just might get there. Find out if you’re eligible for Medicaid.

*Unfortunately, this is not exactly the expansion Utahns voted for. Our state is tacking on harmful work requirements, premiums, surcharges and red tape to Medicaid coverage for the newly eligible. These added requirements will make it harder for Utah parents and children to get care. If approved, we will work hard to prevent these provisions from causing families to lose the coverage and care they need.

Have a story to share about how Medicaid coverage will make a difference in your life? Share your story here.

Open Enrollment: Last Day to Apply is December 15th!

In need of health insurance for you or your family? Call 2-1-1 or visit to learn more about the health insurance marketplace.

What’s coming up in 2020?

We are excited to see many opportunities- big and small- to help Utah kids and parents get connected with health insurance in 2020:

  • Expanded texting support to help kids and families connect with coverage, thanks to an exciting new campaign through United Way of Salt Lake.
  • Medicaid outreach from the Utah Department of Health! The Department is hiring outreach workers to help eligible individuals learn about Medicaid expansion. This is an exciting step to help more parents enroll.
  • Finally, the Utah Department of Health will -hopefully- be releasing guidelines for Medicaid ACOs, which will allow them to remind eligible members of their upcoming renewals. Many eligible individuals often lose coverage when their renewal is due. (Legislation passed in 2019 on this issue, but the guidelines have yet to be released)

… And so much more! Here’s to a 2020 where more Utah kids and families can get access to affordable health coverage and care!

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Going Down a Scary Path: Utah kids are losing health insurance

Over the past two years, Utah has seen an alarming increase in our child uninsured rate. After years of steady progress, it is frightening to see kids lose health insurance. 7.4% or 72,000 Utah kids now lack health insurance, when only 6% or 59,000 kids were uninsured in 2016. We are seeing some of the most significant coverage decline among young children, age 0-5, an age when it is so critical for kids to have access to have screenings, check-ups and care. Why is this happening? Over the past two years Utah and our nation have experienced an unpredictable health care environment, affecting CHIP, Medicaid expansion and the ACA, leading to misinformation and confusion; administrative complexity and lack of continuous coverage leading to disruptions in kids coverage; anti-immigrant policies and rhetoric leading families to feel unwelcome and unsafe enrolling in programs. These are scary barriers keeping Utah kids from getting the care and coverage they need and Voices for Utah Children will be working hard to keep Utah from continuing down this path any further.

Tricks and Treats

After a roller coaster summer, the Utah Department of Health is submitting a waiver proposal to expand Medicaid, fully, up to 138% of the federal poverty level. Currently, Utah has only partially expanded Medicaid. Partial expansion has meant that more individuals are eliglble for Medicaid, but also that thousands of individuals and parents are still shut out of coverage, while Utah pays more money to cover fewer people. We are excited for Utah to take this step closer to full Medicaid expansion, as voters supported.

But unfortunately, this latest waiver proposal also includes harmful, additional barriers such as work reporting requirements and additional cost requirements for enrollees. These added requirements will make it harder for Utah parents and children to get coverage and care. Comments are needed to prevent these harmful requirements from moving forward.

We need your help to get Utah back on the right track to full expansion (the ‘treat’ without the tricks!). Submit your comments today to stand up for full Medicaid expansion, without additional barriers or restrictions.

Finally, the Public Charge rule was recently blocked in the courts. The Public Charge is postponed until further notice. But we still have work ahead of us and we must undo the damage already done as a result of anticipation of this harmful rule, and other anti-immigrant hostilities.

Learn more about the latest developments in the Public Charge rule here.

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Updates on kids coverage in Utah: Kids are losing Medicaid/CHIP coverage, meanwhile Utah is still paying more to cover fewer people…and more!

Why are Utahns paying more to cover fewer people?

Under Utah’s current partial expansion plan (aka the “bridge plan”), Utah is paying 30% more to cover thousands of fewer kids and families on Medicaid. To date, around 34,000 new individuals have enrolled in Medicaid coverage, although at least 50,000 still remain in the gap, unable to afford coverage on their own and not offered it through their job. Utah has left at least $7 million in federal funds on the table so far-- funds that could be used to help more families get coverage and care. (New update: latest reports state the Trump administration will reject Utah's partial expansion. It's time to stop paying more to cover fewer people.)

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Alarming Trend in Kids' Medicaid/CHIP Coverage

Utah kids are dis-enrolling from Medicaid/ CHIP at an alarming rate. At the July Utah Medicaid Advisory Committee meeting we learned that over 2,000 kids lost Medicaid/CHIP coverage last month. Such a steep drop cannot be explained by a strong economy alone. The number of Utah kids leaving CHIP/ Medicaid are among the highest in the nation. Both the Utah Department of Health and Department of Workforce Services have committed to doing additional investigation as to WHY kids are losing coverage. We greatly appreciate that they are taking this issue seriously and are working to find answers.

Change in Enrollment Blue 1

Utah Medicaid Advisory Committee Once Again Prioritizes 12-Month Continuous Eligibility- Let's Keep Kids Covered!

For the third straight year, the Utah Medicaid Advisory Committee prioritized 12-month continuous eligibility for children on Medicaid as one of their top funding requests to the Governor. 12-month continuous eligibility would allow more kids to get covered- and stay covered. Current Medicaid reporting requirements mean many kids unnecessarily lose coverage, with cascading negative impacts. This policy would protect kids and families. The Utah Medicaid Advisory Committee has continually prioritized this as a cost-effective, best practice to keep kids healthy, consistently voting in favor of the Utah Department of Health adopting this policy.

health insurance

The Latest on Utah’s Medicaid Waiver

Utahns submitted a record 1,700 comments on Utah’s partial Medicaid expansion. Thanks to all who stood up for voter-approved full Medicaid expansion. Utahns voiced strong opposition to the proposed cuts, caps and barriers to Medicaid coverage which would leave many kids and parents without coverage or care. These comments send a message to state and federal officials and will provide the backbone for any future legal action.

Haven’t submitted a comment yet? There’s still time! Submit a comment here:

GMMB comment graphic

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Report: 2019 UTAH STATE OF CHILDREN’S COVERAGE REPORT 100% Kids: Giving All Kids the Opportunity to Thrive

Executive Summary

Health insurance coverage provides children with the foundation they need to be healthy and thrive. When children have health insurance, they have better health outcomes, greater academic success and more economic opportunities later in life.

Utah lags behind the rest of the nation when it comes to covering kids. In Utah, 7% of all children are uninsured, compared to 5% nationally. While Utah has made significant strides over the years connecting more children to coverage, in the last year, Utah’s child uninsured rate has increased. In 2017, Utah was one of only nine states to see its child uninsured rate trend in the wrong direction.

Who are the uninsured children of Utah? They are overwhelmingly low-income. Typically, their parents are uninsured too. The majority are eligible for CHIP or Medicaid insurance, but not enrolled. Some are not eligible for insurance at all because of their citizenship or immigration status. They live across Utah, with a higher percentage of uninsured children living in rural areas. Some children may have never been insured; some may have had insurance and then lost it or had a parent dis-enroll them due to stigma or fear of enrolling in public health insurance programs. They come from all racial and ethnic backgrounds however, a disproportionate percentage of uninsured children in Utah are Latino, the highest in the nation. Some come from families experiencing intergenerational poverty, some are immigrants, refugees or asylum seekers, facing steep obstacles to their health and well-being.

But no matter who they are, they are all Utahns. When 7% of our child population lacks health insurance, we put Utah’s future at risk. Utah is at a unique moment to challenge the negative trends and demand that all children, no matter their background, zip code, citizenship or immigration status, can access affordable health coverage.
The 100% Kids Coverage Campaign is led by a diverse coalition of stakeholders. This multi-year campaign has a goal of ensuring all Utah children will have coverage. Guided by four over-arching policy recommendations, the Campaign proposes to change Utah’s health coverage landscape:

  1. Strengthen and protect Medicaid coverage for parents
  2. Keep kids covered all year round
  3. Support consistent outreach and enrollment support
  4. Cover all kids, regardless of background or immigration status

Through targeted policies, political and community engagement, we can ensure that all Utah kids have the health coverage they need to grow, thrive and succeed in life. We believe that it is possible for 100% of Utah children to have access to affordable, consistent health coverage. We invite you to join us and help us reach 100% together.

The full report can be downloaded below. For a free print copy please call Voices at 801-364-1182



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100% Kids Coverage Campaign & Coalition Launch

Giving All Kids the Opportunity to Thrive


Wednesday, May 22, 2019


Ciriac Alvarez Valle


Salt Lake City —A coalition of over 20 diverse stakeholder organizations will announce a campaign aimed at ensuring that all Utah children have health care coverage, regardless of background, geography, immigration status, or income this Friday, May 24that 10 am at the Voices for Utah Children office (details below).

Utah has one of the highest uninsured rates for children in the country. In the last year, Utah was one of only 9 states to see an increase in its child uninsured rate, up from 6% to 7%. Children of color and immigrant children are disproportionately affected, of the 71,000 children without health insurance, almost 43% are Latino children. The Campaign aims to reduce the disparities in coverage and ensure that every child has the ability to access affordable health coverage.

During the launch, Voices for Utah Children will share its new State of Children’s Coverage Report with detailed information regarding Utah coverage, disparities to care and barriers faced by immigrant families. The 100% Kids Coverage Campaign focuses on four main policy priorities: Protecting and fully expanding affordable coverage for parents and pregnant women; keeping kids covered all year round; helping families connect and stay covered; and covering all kids regardless of immigration status. More detailed information about the campaign can be found here:

The report includes several stories and testimonies from immigrant families on the importance of health insurance. “If [our family] had medical insurance, I’d be a calmer woman, with less stress, and more happiness because I’d have my son in his therapies that he really needs,” said one Utah mother in the report.  

 “Our campaign is committed to ensuring that Utah is a place for all children to grow up healthy, regardless of immigration status,” said Ciriac Alvarez Valle, Health Policy and Community Engagement Fellow for Voices for Utah Children. “We are encouraged to have so many groups come together in support of getting Utah to 100% Kids Coverage.

The Campaign & Coalition Launch will be held on Friday the 24th at 10:00 AM at the Voices for Utah Children Office (747 E South Temple #100).


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Immigrant Families on Health Coverage

Thanks to Centro de la Family, the Consulate of Mexico in Salt Lake, Holy Cross Ministries, and Utah Health Policy Project, we were able to survey 34 immigrant families about health care, access to health insurance, what having health insurance or not has meant for them.

The immigrant families surveyed range in location and statuses many families live in mixed immigration statuses from undocumented, legal permanent residents, and U.S. citizens.

From all the surveys, one thing was clear: having access to quality health insurance such as CHIP or Medicaid has made a difference for these families in terms of health, overall wellbeing, and financial security.

“It has meant a lot especially because I have a son with disabilities and a lot of doctor’s appointments.”

“[Medicaid/CHIP] is great, it has made us feel like my children are protected.”

“It brings me peace to know that when my children need medical attention or have an emergency, I have place to take them without being overwhelmed by billing”

“My children have health insurance and I feel good with it because whatever happens I can take them to the doctors.”

These quotes were taken directly from mothers who took the survey and were able to take their children to receive the necessary wellness checks throughout the year for their children and felt the safety net that CHIP and Medicaid provided. This safety net has allowed these families to spend less on health care, access the services they need, and not feel overwhelmed by the health care system. Many of them talked about a feeling of “tranquility” from having access to

For the families that were unable to have access to health insurance the amounts they owed ranged from owing $300-$5,000 in medical bills. 6 families reported their sick children got other family members or other classmates sick, 5 said they caused absences in school, and 4 of them also said an adult at home missed days of work and had to stay home.

One mother said, “Having health insurance for my children has been of great importance to me, I have felt happy to have their physical checks done and my children are very healthy.”

Another mother said, “It helped us during the time that my husband was unable to work, and we had low resources, mi children went to the emergency room and were able to get treatment.”

One mother also talked about the benefits of having health insurance meant her family and her were able to understand the benefits that are much greater than spending less on health care: “I learned that having regular physical and dental check ups that are covered by Medicaid you can reduce the risk of developing serious illnesses and that has helped my family and children a lot.“

Overall the theme remained the same, having health insurance such as Medicaid and CHIP provided relief for all the families that were surveyed. Each of them had different concerns but most of their main concerns were the wellbeing of their children and having the means to pay for their wellness checks. While there is still a climate of fear that surrounds immigrant families, they all had an understanding of the importance of health care and health coverage. Thanks to these vital programs, families can move forward, take care of their medical needs, and take care of their families. With our 100% Kids Coverage Campaign we are hoping to improve coverage and care for all families in Utah! If you would like more information about our campaign, please click here or email !

Together we can work towards 100% Kids Covered in Utah!

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If you would like to read this blog post offline, please scroll to the bottom to download a copy of the PDF version!

During the third week of November, we held a focus group with Dreamers and children of immigrant parents to discuss what health care looked like while they were growing up. As they undocumented children, children in mixed status families, and in immigrant families they shared the same concerns and understanding of what it meant to obtain health care.

The similarities we heard were:

  1. using community health centers and learning their limitations
  2. mistrusting systemic entities like hospitals and government
  3. the lack of understanding of health care and learning it as adults
  4. cultural competency from health care professionals
  5. how care was accessed


Community Health Clinics

One individual mentioned a story of growing up with migraines that touched on the importance of all these pieces especially from obtaining care from local community clinics. She grew up as an undocumented immigrant child and is now a Permanent Resident. She said:

I grew up with migraines and I had them since I was 7.  I never knew what they were, and my mom didn’t know what they were either. They would put an onion to my head [as a home remedy to help alleviate the pain]. I didn’t have a primary doctor, and I remember going in a couple of times each time and told them I had pain but, they would give me over the counter Advil. I remember looking at the TV and a commercial about migraines [came on] and they were listing the symptoms like sensitivity to light, the nausea, the severe pain, and I remember going “That’s what I have!” Basically, diagnosing myself and the next time I went to the doctor I told him I was having migraines, but he didn’t prescribe anything but, it really wasn’t until last year that I got an actual prescription because of the stigma around prescription drugs.


Mistrust and Fear

One of the most important pieces highlighted at the end was this notion that “I still have that message engrained in my brain not to trust the system.” A mistrust within immigrant families to seek health care services because of fear. “And fear of course we are still undocumented so its scary to put your name out there…”  ‘A[fear] now and since when we were kids. It still hasn’t gone away because I’m still undocumented it isn’t as scary, but [the fear] still doesn’t go away.” Given the climate of fear and hostility that has grown within this last year, these feelings continue to linger with these young adults even as they have integrated into Utah and all have either DACA, Legal Permanent Residency, or are U.S. citizens. This is especially important because of the new Public Charge Rule that may drastically change the way immigrant families seek services, scaring them away from public benefits that they qualify for and fearing that their information may be used against them.

Mistrusting the health care system and giving information was also a major concerned discussed by all participants as one highlighted as they discussed the barriers they faced when their parents sought out services for them as children, “If we don’t have someone we can trust (neighbor, family, friend) we don’t have that accessibility or knowing where to get that information [then we won’t seek health care services]”

Understanding Healthcare

An interesting point was mentioned by a participant about what it has meant to have grown up without health insurance now as an adult. She said, “You don’t know who to really talk to and because you grew up not thinking it was necessary, it really does impact you as an adult” She mentioned feeling like there’s a “big gap of knowledge” that she has been trying to fill now as adult navigating health care. Another person mentioned, “I do think it’s funny that my first physical was at 26” because she is DACAmented and obtained private health insurance from her wife’s plan. This is consistent to other trends that emphasize about health care coverage during childhood is important and just as important is having health care coverage for parents, it is also good for children and the “welcome mat” effect.

Another participant mentioned she worked at a community clinic now and continues to see a trend in the misunderstanding and lack of knowledge when it comes to health care for Latino and immigrant families. She said, most families, call the clinic their medical and dental home even if it might not be. There is a gap between understanding that having a medical home means having the same head doctor every time.

Cultural Competency

The cultural competency piece was important to highlight, because health coverage is only the first step to filling the gaps for health care in Utah. One participant mentioned that “[it] doesn’t feel like a welcoming place” even now as adults” and “frustration with the cultural knowledge of health care providers where they make assumptions based on my background.” Even as adults many of these feelings still linger from childhood and now that they understand, are much better able to advocate for themselves within the healthcare system.

How care was accessed

A reoccurring theme throughout the conversation was the amount of times “our moms were our doctors. Where many of them recall their mothers giving them traditional home remedies and not taking medications until necessary. The six participants mentioned they grew up without a head doctor and without regular wellness check-ups unless they were done within a school setting.

100% Kids Coverage Campaign

Each of the six participants gave so many examples of what it was like growing up without health insurance and the barriers they continue to face today because they didn’t grow up understanding the importance of health care with regular check-ups, how to use insurance, and navigating health care in places that don’t always feel welcome.

This focus group gave insight on the difference that health insurance would have made for each of them as children. We hope that more children can access care with our 100% Kids Coverage Campaign. Join us to make sure more young people can access the care they need and can grow up to be the thriving adults they are meant to be.

Ciriac Alvarez Valle

Health Policy and Community Engagement Fellow

Voices for Utah Children

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