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This data brief documents the decline in health coverage from employer-sponsored insurance (ESI) for low-income adults and children between 2000 and 2004 and how this varied across states. During this period, uninsurance rates for low-income children fell by more than 2 percentage points, because Medicaid and SCHIP coverage expanded to offset the reduction in ESI. Without public programs serving as the same coverage safety net, uninsurance rates for low-income adults increased nearly 3 percentage points in the same period. The data brief shows that public coverage offset the reduction in ESI for children in states with large and moderate reductions in ESI.