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SCHIP Making Progress: Increased Take-up Contributes to Coverage Gains
July/August 2003
Health Affairs, Vol. 22, No. 4
Peter J. Cunningham
Previous research based on HSC’s Community Tracking Study (CTS) showed that
while coverage expansions through the State Children’s Health Insurance Program
(SCHIP) greatly increased children’s eligibility for public or private health
insurance coverage, uninsurance rates remained unchanged because of low take-up
by eligible children. However, more recent data show that this is changing.
Children’s uninsurance rates decreased sharply between 1999 and 2001; these
changes were greatest in communities where take-up rates have traditionally
been the lowest and uninsurance rates the highest. Although uninsurance rates
still can be decreased further, state budget pressures threaten the momentum
toward higher participation in public programs.
