Healthy Kids Replication Program

An RWJF National Program

Field of Work: Children's health insurance

Problem Synopsis: In 1995, one out of every seven children in America had no health insurance, according to a study by the Employee Benefits Research Institute. The number of uninsured children was increasing and trends in private health care coverage and welfare reform threatened to accelerate the rate of increase. However, a model program, Florida Healthy Kids, had demonstrated that a children's insurance product could have a place in the marketplace.

Synopsis of the Work: The Healthy Kids Replication Program was a national program to help states develop a comprehensive children's health insurance product that was to be sold through the schools. However, the 1997 federal Balanced Budget Act of 1997 established the Children's Health Insurance Program (CHIP), which provided block grant funds to the states to expand Medicaid coverage for uninsured children or develop a new insurance program. As a consequence, many states turned their attention to developing Children's Health Insurance Programs.

 

Key Results

  • Five states received funding and achieved the following results:

    • Colorado focused on improving the effectiveness of marketing and outreach activities for its CHIP. During fiscal year 2001, Colorado enrolled 45,773 children in its CHIP.
    • Georgia focused on completing planning activities for its CHIP. During fiscal year 2001, Georgia enrolled 182,762 children in its CHIP.
    • Iowa focused on obtaining actuarial and communications services, identifying health plans, and conducting outreach activities for its CHIP. During fiscal year 2001, Iowa enrolled 23,270 children in its CHIP and expanded Medicaid program.
    • New Hampshire focused on building its infrastructure, marketing and outreach activities, and quality evaluation for its CHIP. During fiscal year 2001, New Hampshire enrolled 5,982 children in its CHIP and expanded Medicaid program.
    • Texas focused on two support functions for its Healthy Kids program. During fiscal year 2001, Texas enrolled 500,950 children in its CHIP and expanded Medicaid program.

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