On January 22, 1998, IHPS held a day-long roundtable discussion to work through operational and administrative questions for states intending to establish subsidies toward the cost of employer-sponsored health coverage. Attendees included executives from state health agencies, health plans, HMOs, and private industry. The goal was to assess alternate approaches for meeting minimum benefits standards and cost-sharing ceilings, pricing benefits, and making subsidy payments that are simple and will meet the overall purpose of such programs to maximize health insurance coverage of uninsured children and their families. This report was developed following the discussions and addresses approaches for meeting benefits and cost-sharing standards of Title XXI, the State Child Health Insurance Program. All of the states attending the roundtable plan to implement subsidies toward the cost of employer coverage for children eligible for the federal-state health initiatives. Several of the states will expand their approach to subsidize the cost of covering other family members using funding from federal and state sources under a Medicaid 1115 comprehensive demonstration waiver or state-only funding under state legislation.