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- W2020154705 abstract "Was the State Children's Health Insurance Program (SCHIP) a flash in the pan or is it the future of children's health insurance? Your answer may depend on the news you read. As states have grappled with tight budgets in the recession economy and the long-ago planned “dip” in federal funding for SCHIP for fiscal years 2002–2004, several states made decisions to limit their SCHIPs through restricting enrollment, increasing premiums, limiting benefits, and decreasing outreach activities. As a consequence, July through December 2003 marked the first period since SCHIP was enacted in 1997 that program enrollment decreased nationally, attributable to marked declines in 11 states and the District of Columbia.1On the other hand, during the latter half of 2003, a handful of states expanded SCHIP eligibility and enhanced program benefits, and the majority of states continued to report modest increases in SCHIP enrollment.1 Despite the national recession beginning in 2001 that led to increased unemployment and associated decreases in employer-sponsored insurance coverage for children, increased child enrollment in SCHIP and Medicaid more than offset the reduction in employer-sponsored coverage.2 As a result, the rate of uninsurance among US children declined from 15% in 19973 (at SCHIP inception) to 11.4% in 2003,4 a decline attributable in large part to SCHIP enrollment that was particularly robust among children living in households with annual incomes 2 to 3 times the poverty level, beyond the eligibility limits of most Medicaid programs.The findings of Kempe et al5 in this issue of Pediatrics regarding the Colorado version of SCHIP, Child Health Plan Plus, offer good news about SCHIP beyond enrollment statistics. Families reported higher rates of being able to see providers for a variety of routine and acute care needs and also reported a significant decline … Reprint requests to (M.M.D.) University of Michigan, 300 NIB, 6C23, Ann Arbor, MI 48109-0456. E-mail: mattdav{at}med.umich.edu" @default.
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- W2020154705 date "2005-02-01" @default.
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- W2020154705 title "Planning the Next Wave of SCHIP Research" @default.
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- W2020154705 doi "https://doi.org/10.1542/peds.2004-2163" @default.
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