State Close-Ups


The following provide a deeper look at selected state initiatives produced by the Center for Children and Families. Information for the policy models was collected through interviews, written reports and program Web sites.


Map of Louisiana

Louisiana: Expansions, Simplifications and Outreach

Louisiana has made steady and substantial progress in expanding eligibility for public health insurance coverage, and enrolling and retaining eligible children. As a result, between 1998 and 2007 the state reduced uninsurance among low-income children by 83 percent. And a particular focus on improving renewal processes has resulted in case procedural closure rates that are less than 1 percent.
  • Read an in-depth case study highlighting Louisiana's progress.
  • Read a detailed fact sheet about Louisiana's retention strategies.
  • Read an interview with Ruth Kennedy, LaCHIP director, describing the steps taken to streamline renewals.

Map of North Carolina North Carolina: Eligibility Expansion
On July 31, 2007, Governor Mike Easley signed into law NC Kids Care, legislation that created a new publicly subsidized insurance program for children in families earning 201 percent to 300 percent of the federal poverty level. While set for implementation on July 1, 2008, state officials are considering funding and program options in light of funding limitations and new federal restrictions.


Map of Pennsylvania
Pennsylvania: Streamlined Enrollment & Renewal through Technology
Pennsylvania has worked to implement enrollment and renewal practices that are easy to navigate for families and program staff. Among these innovations is its online application called COMPASS (Commonwealth of Pennsylvania Access to Social Services). Pennsylvania has coupled this work with eligibility expansions in March 2007 it expanded its SCHIP program from 200 percent to 300 percent of the federal poverty level.


Map of Washington Washington State: Coverage to All Children
Beginning in February 2009, Washington began enrolling children with family incomes up to 300 percent of the federal poverty level (FPL) in its new Apple Health for Kids program. The implementation of this expansion is only the most recent phase of a comprehensive effort to cover all children that began over 2 years ago when Governor Chris Gregoire signed legislation to provide health coverage to all children, regardless of immigration status, with family incomes up to 300% of the FPL.
  • Read an in-depth case study highlighting Washington's progress.
  • Read an interview with Vicky McIntyre, a mother whose child is now covered by Apple Health for Kids.