States can be considered innovative in providing health insurance coverage to the extent that they expand coverage beyond the federally mandated minimums. Only a minority of states have seriously attempted to extend coverage beyond what are essentially levels required for Medicaid and SCHIP. These states have used considerable creativity in employing diverse funding streams and have fought many difficult political battles to achieve what they have. In contrast, most states have done relatively little to expand coverage beyond minimum federal requirements. This Fast Fact divides states into four groups, ranging from most to least innovative.