The LA Healthy Kids coverage expansion was associated with decreases in pediatric services utilization in two county-funded programs for the uninsured. Coverage expansion may have saved over $37 million in uncompensated care for children. For public hospitals and safety net clinics, data suggests that insurance not only improves access but reconfigures where people get care. It also helps reduce uncompensated care and provides new avenues to support the healthcare safety net. These data suggest that state- or jointly-funded insurance expansions help offset the growing burden of uncompensated care among safety net providers while improving utilization and child health status. Journal of Public Health Management Practice. Volume 15, No.4, 2009.