Reports Rank States by Quality of Kid's Healthcare

If you're not happy with your child's health care, consider moving, not to another doctor, but to another state.

On Wednesday, the Commonwealth Fund reported some states are doing much better than others caring for kids.

Bottom line: even the worst areas have places with great care, and in all states, there's room for improvement.

Kids in Texas might get better care in Iowa or Vermont.

They top the fund's list of states with the best health care for children .

Dr. Edward Schor with Commonwealth Fund said, "They pay a lot of attention to their families, and to the children who are in them."

The report measures access, quality, cost and whether poor and minority kids get the care they need.

Oklahoma and Florida ranked last with Texas not far behind.

One in five Texas children are uninsured.

The report found health care is generally better, but more expensive, in the Northeast and Upper Midwest, worse in the South and out West.

What's surprising are the differences.

In Massachusetts, three out of four kids get regular checkups.

In Idaho, less than half.

Experts say having a "medical home" makes a big difference.

"If you have a regular place to go for your care, you're more likely to get preventive care, you're more likely to have your immunizations up to date. You're more likely to be referred to a specialist when you need one," said Schor.

States like Iowa that rank high made government programs better by pulling in private companies and creating rules that make it easier to see a doctor.

How can states improve? By making children's health a priority.

This report claims if every state met its own goals, 4.5 million more kids would have health insurance

Another 12 million would see a doctor at least once a year

And 1.5 million fewer kids would be at risk for developmental problems.