Outliving Grant Funding

Over the past eight years the Robert Wood Johnson Foundation (RWJF) invested nearly $150 million to help increase and maintain enrollment of children and families eligible for, but not enrolled in, Medicaid and the State Children’s Health Insurance Program (SCHIP). This substantial investment was accomplished first through RWJF’s Covering Kids Initiative (CKI) and then through Covering Kids & Families® (CKF), an expansion program that included families. Between the two programs, RWJF awarded state, local and liaison CKF grants in all 50 states plus the District of Columbia (Paxton, Wooldridge and Stockdale 2005). There were statewide grants to 45 states and the District of Columbia, each of which funded at least two local grantees. Each CKF site had two components:

  1. The “grantee” or “project,” that is, the paid staff that managed the grant and the CKF activities; and
  2. the “coalition,” composed of organizations that worked on increasing enrollment of eligible uninsured children and their families in public health insurance programs.

This issue brief reviews findings on the sustainability of the 45 state CKF grantees, drawing primarily from an online survey of state CKF project directors and coalition leaders conducted at least six months after RWJF funding support for each project ended.