Citation URL: http://www.urban.org/PatriciaBarreto

The Los Angeles Healthy Kids program, during its first four years, extended comprehensive, affordable coverage to over 40,000 poor and vulnerable children, and improved their access to and use of care. Yet, the program also faced serious challenges, primarily related to financing. Funding for children ages 6 through 18 ran short in spring 2005 and Healthy Kids capped their enrollment. State health reform efforts that could have stabilized funding for the program have failed. Based on interviews with over 40 stakeholders, this case study analyzes the complex challenges that the Los Angeles Healthy Kids program faces at this critical juncture.

The Los Angeles Healthy Kids program was created in 2003 to provide health insurance to uninsured children ages 0–5 years in families with household income below 300 percent of the federal poverty level (FPL) who are ineligible for SCHIP or Medicaid. A quality of care survey sampled parents of 538 children ages 12–72 months enrolled in the program for at least one year. Results show that quality of preventive care for children in Healthy Kids has similar patterns as care for children in low-income households, both in California and nationally. Content of preventive care is well below American Academy of Pediatrics (AAP) recommendations, although it is consistent with statewide and national levels of care.

A series of focus groups with parents of children enrolled in the Los Angeles County Healthy Kids program found that the program is providing families with a highly valued service in the form of comprehensive health insurance coverage, permitting their children easier access to care, making health services more affordable, and increasing options for where and when to obtain care. The groups explored parents' feelings about and experiences with Healthy Kids, which extends coverage to uninsured children from birth through age 18 in families with income below 300 percent of the federal poverty level who are ineligible for Medicaid or SCHIP.

A series of focus groups with parents of children enrolled in the Los Angeles County Healthy Kids program found that the program is providing families with a highly valued service in the form of comprehensive health insurance coverage, permitting their children easier access to care, making health services more affordable, and increasing options for where and when to obtain care. The groups explored parents' feelings about and experiences with Healthy Kids, which extends coverage to uninsured children from birth through age 18 in families with income below 300 percent of the federal poverty level who are ineligible for Medicaid or SCHIP.

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