It has been reported that too many of America’s children do not have health insurance, with the state of Montana having one of the highest rates of uninsured children in the country, despite having one of the strongest state economies.

Montana's 35,000 uninsured children come from all household income levels and are at a developmental and educational disadvantage compared to kids who have a regular doctor or medical home. Healthy children achieve better educational outcomes with a higher likelihood of becoming productive citizens prepared for work, public service, and overall life experiences.

Healthy Montana Kids, an ongoing ballot initiative collecting voter signatures throughout the state, is a good example of the high economic returns from more investment in children's health. This ballot initiative, if passed by Montana voters, would add uninsured children to both public and private insurance programs maintaining a mix of government and employer sponsored health insurance coverage and leaving 60% of insured kids covered by private insurance.