CKF Coalitions Propel Policy and Procedural Changes

This brief examines the impact of the Robert Wood Johnson Foundation program—Covering Kids & Families (CKF)—sponsored in 46 states and funding 152 local grantees. Its goals were to reduce the number of uninsured children and adults eligible for health coverage, and to sustain those reductions after CKF ended. The authors summarize the ways that CKF coalitions were built, the changes they supported, and the sustainability of those changes after the grant period.

Key Findings

  • Coalitions provided essential help through their expertise, their contacts and by offering direct outreach.
  • State CKF grantees had more success if they included among their coalitions those from the State Children's Health Insurance Program (SCHIP) and Medicaid officials who had the authority to make program and policy changes.
  • Diversity of the coalitions gave the states an advantage in pursuing their goals.
  • Before the funding ended, more than half of the grantees and leaders interviewed expected the coalitions to continue into the future.

A new survey that was conducted in mid-2007 is expected to provide an update on the sustainability of these changes. However, it appears that most coalitions did continue their roles as agents of change and that their work remains critical.