Research Report A Tale of Two Counties
Expanding Health Insurance Coverage for Children in California
Embry M. Howell, Dana Hughes
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During difficult economic times, many California counties have expanded health insurance coverage for low-income children. These Children's Health Initiatives (CHIs) enroll children in public programs and provide new health insurance, Healthy Kids, for those ineligible for existing programs. This article describes the policy issues in implementing the Santa Clara and San Mateo County CHIs, as well as the children's enrollment levels and utilization of services. These CHIs are among the first of the thirty California counties planning or implementing such initiatives. Their success depends on leadership from county agencies that have not traditionally worked closely together, as well as the development of a diverse public and private funding base. This effort to provide universal coverage for all children is important to national policymakers desiring similar goals.
Research Areas Health and health care Children and youth Immigrants and immigration
Tags Health care delivery and payment Medicaid and the Children’s Health Insurance Program  Immigrant access to the safety net Immigrant children, families, and communities State Children's Health Insurance Program Children's health and development Community-based care Federal, state, and local immigration and integration policy
Policy Centers Health Policy Center