ERIC Number: ED450880
Record Type: Non-Journal
Publication Date: 1999-Oct
Reference Count: N/A
One Step Forward, One Step Back: Children's Health Coverage after CHIP and Welfare Reform.
Pulos, Victoria; Denker, Peggy
Passed in 1997, the Children's Health Insurance Program (CHIP) was designed to expand and complement the Medicaid program, thereby reducing the number of U.S. children without health insurance. However, as states implemented welfare reform, many children and parents lost welfare benefits, and thereby Medicaid coverage. This study examined enrollment trends in CHIP and Medicaid from 1996 through 1999 in 12 states with the largest number of uninsured children to assess the early progress of CHIP and to understand the effects of welfare reform on the health coverage of low-income children. The states involved in the study were Arizona, California, Florida, Georgia, Illinois, Louisiana, New Jersey, New York, North Carolina, Ohio, Pennsylvania, and Texas. The states provided monthly enrollment data from January 1996 to June 1999, with data after CHIP's enactment categorized as regular Medicaid, expanded Medicaid under CHIP funding, or separate CHIP- funded state programs. The findings indicated that in 1999, fewer children were enrolled in federally funded children's health programs than were enrolled in Medicaid alone in 1996. Increases in CHIP enrollment have been offset by reductions in Medicaid coverage. Although CHIP got off to a slow start, enrollment is now growing rapidly and likely to continue growing. Further, CHIP is reaching children in families whose income levels previously made them ineligible for public coverage, and there is evidence that the program is helping to find children who were already eligible for Medicaid but were not enrolled. (KB)
Descriptors: Child Health, Children, Eligibility, Enrollment, Enrollment Influences, Enrollment Trends, Health Insurance, Low Income Groups, Welfare Reform
Families USA, 1334 G Street, NW, 3rd floor, Washington, DC 20005; Tel: 202-628-3030; Web site: http://www.familiesusa.org.
Publication Type: Opinion Papers; Reports - Research
Education Level: N/A
Sponsor: David and Lucile Packard Foundation, Los Altos, CA.; Kellogg Foundation, Battle Creek, MI.; Open Society Inst., New York, NY.; George Gund Foundation, Cleveland, OH.
Authoring Institution: Families USA Foundation, Washington, DC.
Identifiers - Laws, Policies, & Programs: Childrens Health Insurance Program