Although laudable progress has been made in recent years to enroll uninsured children in public coverage programs in California, economic and policy changes in the last few years have slowed or reversed this trend. The State's current fiscal environment has resulted in deep cuts to outreach activities for existing programs and in burdensome administrative requirements, both of which deter eligible children and families from enrolling in and keeping health insurance coverage. Additionally, double-digit care inflation has eroded employer-sponsored coverage, particularly for dependents.