TAILIEUCHUNG - What Has Been Learned About Expanding Children’s Health Insurance? Highlights From CHIRI™

The findings highlighted in this summary document are drawn from CHIRI™ Issue Briefs that were developed based on research conducted by seven of the nine CHIRI™ projects (one national and six State based: Alabama/Georgia, Florida, Indiana, Kansas, New York, and Oregon). In the case of State research projects, findings were produced for each State and then compared across the States. In general, CHIRI™ research involved surveys of SCHIP enrollees at baseline and followup, reviews of SCHIP administrative records, focus groups, and State case studies, depending on the study. Data were collected from 1999 to 2002. Survey interviewers spoke with the adult in the household, most often a parent who was most knowledgeable about the. | HtRI The Child Health Insurance Research Initiative What Has Been Learned About Expanding Children s Health Insurance Highlights From CHIRI In 1999 the Agency for Healthcare Research and Quality AHRQ The David and Lucile Packard Foundation and the Health Resources and Services Administration HRSA formed a unique public private partnership to create the Child Health Insurance Research Initiative CHIRI . CHIRI was an effort to supply policymakers with information to help them improve access to and quality of health care for low-income children. CHIRI funded nine studies of public child health insurance programs and health care delivery systems. This Issue Brief highlights some of the CHIRI findings on the State Children s Health Insurance Program SCHIP a Federal-State program implemented in 1997 and reauthorized in 2009 as the Children s Health Insurance Program CHIP . CHIP provides insurance coverage to low-income children whose families earn too much to qualify for Medicaid but lack private insurance. While the CHIRI research primarily was conducted from 1999 to 2003 the findings remain instructive for policymakers and others interested in improving children s insurance coverage. Highlights include Most SCHIP enrollees lived in families with a full-time worker and incomes equal to or below 150 percent of the Federal Poverty Level FPL . Minority children and children with special health care needs CSHCN made up a significant proportion of SCHIP enrollees. SCHIP improved health care access and quality for low-income children generally these gains were by and large shared by minority children and CSHCN. The design of coverage in States with separately administered SCHIP programs limited certain services for CSHCN. SCHIP retention was increased by a simplified renewal process that automatically reenrolled children in SCHIP unless their families submitted reenrollment forms indicating a change affecting their eligibility. More than three-quarters of SCHIP enrollees .

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