4 August, 2025
major-health-insurance-gaps-discovered-for-adopted-children-in-u-s-

A recent study conducted by the University of Maryland (UMD) School of Public Health reveals significant health insurance gaps for adopted children in the United States. Published in the journal Health Affairs, the research highlights disparities in coverage based on the type of adoption—whether domestic or international—as well as the citizenship status of the adoptive parent.

The findings indicate that a substantial number of adopted children do not receive adequate health insurance once they enter their new families. This lack of coverage poses serious implications for their health and well-being, particularly as many adopted children may have pre-existing medical conditions that require ongoing care.

The study categorizes adoption into two main types: domestic and international. It emphasizes that children adopted from the U.S. foster care system often fare better in terms of health insurance coverage compared to those adopted from abroad. The research points out that adoptive parents who are U.S. citizens tend to provide more robust health insurance options for their children than those who are not.

One of the key findings of the study is the alarming statistic that approximately 25% of adopted children are uninsured or underinsured. This figure raises concerns about access to necessary medical services, which can significantly impact long-term health outcomes.

Furthermore, the study highlights that children adopted internationally may experience even greater challenges in securing health insurance. These children often enter the U.S. with varying health needs and may require additional support to navigate the complexities of the American healthcare system.

The researchers advocate for policy reforms aimed at ensuring all adopted children receive comprehensive health insurance coverage. They suggest that improving access to insurance could mitigate the long-term health disparities currently observed among this vulnerable population.

Adoption agencies, healthcare providers, and policymakers are encouraged to collaborate in addressing these gaps. By raising awareness about the unique needs of adopted children, stakeholders can work towards implementing effective solutions that ensure equitable healthcare access.

In conclusion, the findings from the University of Maryland study underscore the urgent need for systemic changes in health insurance coverage for adopted children. With hundreds of thousands of children being adopted in the U.S. each year, ensuring they receive adequate health care is crucial for their overall development and quality of life. As the conversation around healthcare reform continues, the needs of adopted children must remain a priority.