This report provides a comprehensive state-by-state analysis of children's access to health insurance and health care—including changes in coverage since the State Children's Health Insurance Program (SCHIP) was introduced.

The analysis shows:

• Since Congress first authorized SCHIP in 1997, the percentage of uninsured children in America has fallen by 24 percent.
• A total of 6.6 million children nationwide were enrolled in SCHIP at some point during 2006.
• Nationally, uninsured children are more than three times less likely than insured children to visit a doctor in the course of a year (10% for insured children versus 33 percent for uninsured children).
• More than half (54 percent) of all uninsured children did not have a "well-child" checkup in the past year—more than double the rate of children with insurance (25%).

Prepared for the Robert Wood Johnson Foundation by the State Health Access Data Assistance Center, University of Minnesota, this report analyzes data from the U.S. Census Bureau (1998, 1999, 2005 & 2006 Current Population Surveys); U.S. Centers for Medicare & Medicaid Services (2002-2006); National Center for Health Statistics of the U.S. Centers for Disease Control and Prevention, National Survey of Children's Health (2003); and the U.S. Centers for Disease Control and Prevention's National Health Interview Survey (2006).