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The Future of Medi-Cal: Challenges at the Federal, State, and County Level

This issue brief explores how California and other states are attempting to preserve a meaningful set of benefits under Medicaid during the current budget crisis, when services are most needed and state resources are most scarce. This brief is being distributed in Sacramento at the latest California Health Policy Roundtable…

Health Insurance Premiums and Cost-Sharing: Findings from the Research on Low-Income Populations

Health Insurance Premiums and Cost-Sharing: Findings from the Research on Low-Income PopulationsThis policy brief reviews studies on the impact of premiums and cost-sharing, particularly on low-income populations, and finds that premiums generally depressed participation in public programs and cost-sharing affected health utilization, access and outcomes. Policy Brief

Enrolling Children and Families in Health Coverage: The Promise of Doing More

The 50 state survey of enrollment simplification and renewal procedural reforms, shows that states continue to take steps to transform the Medicaid program from its origins as a welfare-based program into something resembling a more traditional health insurance program. Report (.pdf) >>All 50-State Children’s Health Coverage Reports

First Glance at the Children’s Health Initiative in Santa Clara County, California

A new background report examines Santa Clara County in California in its effort to provide health insurance coverage (Children’s Health Initiative or CHI) to all children living in the county. As one of the first localities to attempt such an initiative, its experiences can highlight important lessons and potential best…

Legislative Summary: State Children’s Health Insurance Program – Fact Sheet

State Children’s Health Insurance Program Summary November 1997 Nearly 10 million children are uninsured, often resulting in difficulties in obtaining needed health care. To expand coverage to low-income uninsured children, Congress enacted the State Children’s Health Insurance Program (CHIP) as part of the Balanced Budget Act (BBA) of 1997 (P.L.…

The New Child Health Insurance Program: A Carefully Crafted Compromise

This paper explores the major policy compromises embodied in the CHIP program. It focuses on two areas: the relative control of the federal and state governments over the program, and the design of the program in relation to the private, employer-based health insurance market. This paper is part of the…