An Analysis of State Plans Submitted to the Health Care Financing Administration by March 1, 1998
In an effort to insure health coverage for millions more low-income children through the recently enacted Children’s Health Insurance Program, states have begun to submit plans for federal review. A NASHP analysis of the eighteen state plans submitted by March 1 (representing 55 percent of the nation’s low-income, uninsured children) reports the following trends:
- Half of the early applicants will rely on private programs or a combination of Medicaid and private programs; half will expand Medicaid alone.
- Half of the state plans will provide coverage to children in families at or above 200 percent of poverty; 1 state proposes family coverage.
- Most states (11 of the 18) will require cost-sharing through premiums or co-payments; seven states, all Medicaid expansions, have no cost sharing.
- To further prevent crowd out (the replacement of private coverage by the new public coverage offered by CHIP), 10 states will require that beneficiaries have been uninsured for a period of time.