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A Tale of Two Counties: Expanding Health Insurance Coverage for Children in California
Author(s) -
HOWELL EMBRY M.,
HUGHES DANA
Publication year - 2006
Publication title -
the milbank quarterly
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.563
H-Index - 101
eISSN - 1468-0009
pISSN - 0887-378X
DOI - 10.1111/j.1468-0009.2006.00457.x
Subject(s) - economic growth , low income , public health insurance , health insurance , public health , political science , business , environmental health , public administration , socioeconomics , medicine , health care , sociology , economics , nursing
During difficult economic times, many California counties have expanded health insurance coverage for low‐income children. These Children's Health Initiatives (CHIs) enroll children in public programs and provide new health insurance, Healthy Kids, for those ineligible for existing programs. This article describes the policy issues in implementing the Santa Clara and San Mateo County CHIs, as well as the children's enrollment levels and utilization of services. These CHIs are among the first of the thirty California counties planning or implementing such initiatives. Their success depends on leadership from county agencies that have not traditionally worked closely together, as well as the development of a diverse public and private funding base. This effort to provide universal coverage for all children is important to national policymakers desiring similar goals.