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Children's health initiatives in California: The experiences of local coalitions pursuing universal coverage for children

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  • Stevens, G.D.
  • Rice, K.
  • Cousineau, M.R.

Abstract

Objectives. Many county coalitions throughout California have created local health insurance programs known as Healthy Kids to cover uninsured children ineligible for public programs as a result of family income level or undocumented immigrant status. We sought to gain an understanding of the experiences of these coalitions as they pursue the goal of universal coverage for children. Methods. We conducted semistructured telephone-based or in-person interviews with coalition leaders from 28 counties or regions engaged in expansion activities. Results. Children's Health Initiative coalitions have emerged in 31 counties (17 are operational and 14 are planned) and have enrolled more than 85000 children in their health insurance program, Healthy Kids. Respondents attributed the success of these programs to strong leadership, diverse coalitions of stakeholders, and the generosity of local and statewide contributors. Because Healthy Kids programs face major sustainability challenges and difficulties with provider capacity, most are cautiously looking toward statewide legislative solutions. Conclusions. The expansion of Healthy Kids programs demonstrates the ability of local coalitions to reduce the number of uninsured children through local health reform. Such local programs may become important models as other states struggle with declines in employer-based coverage and increasing immigration and poverty rates.

Suggested Citation

  • Stevens, G.D. & Rice, K. & Cousineau, M.R., 2007. "Children's health initiatives in California: The experiences of local coalitions pursuing universal coverage for children," American Journal of Public Health, American Public Health Association, vol. 97(4), pages 738-743.
  • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2006.088690_5
    DOI: 10.2105/AJPH.2006.088690
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    Cited by:

    1. R. S. Oropesa & Nancy S. Landale & Marianne M. Hillemeier, 2016. "Legal Status and Health Care: Mexican-Origin Children in California, 2001–2014," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 35(5), pages 651-684, October.
    2. Dana Hughes & Embry Howell & Christopher Trenholm & Ian Hill & Lisa Dubay, "undated". "Three Independent Evaluations of Healthy Kids Programs Find Substantial Gains in Children's Dental Health Care," Mathematica Policy Research Reports 8ee8221d65ee452293e947a4f, Mathematica Policy Research.
    3. Valente, Thomas W. & Coronges, Kathryn A. & Stevens, Gregory D. & Cousineau, Michael R., 2008. "Collaboration and competition in a children's health initiative coalition: A network analysis," Evaluation and Program Planning, Elsevier, vol. 31(4), pages 392-402, November.
    4. repec:mpr:mprres:6022 is not listed on IDEAS

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