Medicaid Expansion Narrows Maternal Health Coverage Gaps, But Racial Disparities Persist
A new report from the Georgetown Center for Children and Families shows that a state’s decision on whether to expand Medicaid has a profound impact on women of childbearing age (18-44). In 2019, across all racial and ethnic groups, women in non-expansion states were more likely to be uninsured than women in states that had expanded Medicaid. Research shows that expanding Medicaid health coverage helps to lower maternal mortality rates and increases access and use of health care among women of childbearing age. Closing the coverage gap is a critical first step to combatting the maternal health crisis in our country and addressing persistent racial and ethnic health inequities.
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Leading an Early Childhood Team Through the Quality Improvement Process
Article October 7, 2026
Published in Young Children, this 2024 article provides an operational guide for aligning state QIS requirements with broader national standards, quality grants, and staff incentives.
Much-Needed Changes in Child Care Quality Rating and Improvement Systems Should Promote Equity
Blog October 7, 2026
Blog authors Gina Adams and Danielle Ewen outline systemic flaws in traditional models. This 2024 blog details how traditional QRIS frameworks often inadequately support parents, underinvest in actual center improvement, and inadvertently exacerbate funding inequalities among diverse childcare providers.
Four Trends in Early Care and Education Quality Rating and Improvement Systems
Fact Sheet October 7, 2026
This 2024 brief evaluates Parent Aware (Minnesota's system) and synthesizes interviews across six states (Delaware, Louisiana, Michigan, Pennsylvania, Vermont, and Washington). It identifies critical, modern pathways for administrators looking to overhaul and redesign state frameworks.