California counties have developed innovative programs to improve health insurance coverage and access to care for uninsured children. However, the State's budget crisis and ensuing cutbazcks have severely constrained the ability of county and city governments to provide funding support for Healthy Kids programs at levels required to cover uninsured children ages 0-18 in families with incomes under 300% FPL and who are not eligible for Medi-Cal or Healthy Families.