“We now have emerging evidence in Medicare and commercial insurance of how care coordination and prevention can help patients with chronic conditions avoid costly hospitalizations and ER visits,” said Kavita Patel, a policy expert at the Brookings Institution who’s also a practicing physician. “This really should become the standard across Medicaid programs.”

“There’s an incredible security that I have with CHIP,” said Bell, 30, who has gone back to community college to reboot his life after working a series of low-paying jobs. “If my daughters get sick or seriously injured, we can take them to their doctor, rather than when I was growing and had to go through the emergency room. We always kept our fingers crossed back then.”