Despite progress via CHIP expansions, many children are uninsured for reasons related to family immigration status, the erosion of employer-based coverage or turnover in public program eligibility and enrollment.
To assist California under grants from the David and Lucile Packard Foundation and the California Endowment, the Institute's California office assisted state and local efforts to cover all children regardless of immigration status through approaches that harness a variety of public and private funds.
Local Children's Coverage Initiatives
California Local Coverage Initiatives Center: IHPS ran a technical assistance center that provided policy expertise and strategic assistance to counties in the design and implementation of model approaches to expand access to health care for children and families. Initially, the project focused on the Santa Clara Children's Health Initiative (CHI) to cover all children residing in Santa Clara County. In 2002-2003, the project expanded to several counties in the Greater Bay Area and is now the state's leading technical assistance provider in creating health coverage for all children. Click here for more information.
Coordinating Public and Private Financing Sources Toward Continuous Coverage Structures For Uninsured Kids: Under projects funded by the David and Lucile Packard Foundation, the Institute operated a national resource center which pioneered efforts to assist expansion and continuity of health insurance coverage of children in low- and modest-income working families by developing ways to coordinate with job-based family coverage on their behalf. Much of this assistance relates to ways states could coordinate premium assistance (via SCHIP, Medicaid, or their own funds) with employment-based coverage to serve uninsured children and their families.
Local Experience with Healthy Kids Enrollment Caps (IHPS-CA, June 2004)
Local and Regional Solutions Leading the Way to Covering All Children in California (IHPS-CA, June 2004)
Checklist for Counties Pursuing a Children's Health Initiative (IHPS-CA, March 2004)
Universal Health Care for Children: Two Local Initiatives (Future of Children, Volume 13, Number 1, published by the Center for the Future of Children, Spring 2003)
Barriers to Re-Enrollment in Medi-Cal and Strategies for Retaining Eligible Children: Parents and County Workers Speak Out in Santa Clara County (IHPS, July 2001)
Background Data and Models for Expanding Health Insurance Coverage to Uninsured Children in Santa Clara County (IHPS, October 2000)
Uninsured Children with Access to Employer-Based Coverage (IHPS, February 1999)
DataBrief: Sources of Coverage for Uninsured Children Before and After Periods of No Insurance (IHPS, January 1999)
Children and Employer-Based Coverage: The Data (IHPS, October 1998)
Coordinating Children's Coverage Expansions with Employer-Sponsored Coverage (IHPS, March 1998)
Alternative Approaches for Paying Child Health Insurance Subsidies (IHPS, January 1998)
Employer Coverage and the Children's Health Insurance Program under the Balanced Budget Act of 1997: Options for States (IHPS, December 1997)
Extending Health Care for Modest-Income Children and Pregnant Women: Public and Employer Financial Coverage Lessons (IHPS, December 1996)