This project is funded under the Robert Wood Johnson Foundation’s Research in Transforming Health and Health Care Systems (RTHS) program, which supports policy-relevant, community-engaged research on current or potential policies to transform health and health care systems. The goal of the study is to inform Medicaid policies in Illinois, as well as to inform national discussions on Medicaid reform and racial and health justice. The study will examine the effect of 12-month continuous Medicaid coverage under the Families First Coronavirus Response Act (FFCRA) on churn and health outcomes in Illinois. The grantees will examine how the churn rate differed among racial and ethnic groups prior to, during, and potentially following FFCRA implementation. Focusing on Cook County, Illinois, the grantees will examine how continuous Medicaid coverage affects access to specialty care, medication access, hospitalizations, and emergency department use among Medicaid-eligible individuals who have experienced churn. Deliverables will include a project work plan and annual and final narrative and financial reports, as well as a range of products to reach policymakers and other audiences for study findings.