Howell Embry M, Hughes Dana
Urban Institute, Washington, DC 20037, USA.
Milbank Q. 2006;84(3):521-54. doi: 10.1111/j.1468-0009.2006.00457.x.
During difficult economic times, many California counties have expanded health insurance coverage for low-income children. These Children's Health Initiatives (CHIs) enroll children in public programs and provide new health insurance, Healthy Kids, for those ineligible for existing programs. This article describes the policy issues in implementing the Santa Clara and San Mateo County CHIs, as well as the children's enrollment levels and utilization of services. These CHIs are among the first of the thirty California counties planning or implementing such initiatives. Their success depends on leadership from county agencies that have not traditionally worked closely together, as well as the development of a diverse public and private funding base. This effort to provide universal coverage for all children is important to national policymakers desiring similar goals.
在经济困难时期,许多加利福尼亚州的县扩大了对低收入儿童的医疗保险覆盖范围。这些儿童健康倡议(CHIs)将儿童纳入公共项目,并为那些不符合现有项目资格的儿童提供新的医疗保险——健康儿童保险。本文描述了在圣克拉拉县和圣马特奥县实施儿童健康倡议过程中出现的政策问题,以及儿童的参保水平和服务利用情况。这些儿童健康倡议是加利福尼亚州三十个计划或正在实施此类倡议的县中最早开展的一批。它们的成功取决于传统上没有紧密合作的县机构的领导能力,以及多元化的公共和私人资金基础的发展。对于渴望实现类似目标的国家政策制定者来说,为所有儿童提供全民覆盖的这项努力至关重要。