Article: Assessing potential enrollment and budgetary effects of SCHIP premiums: findings from Arizona and Kentucky.(Author abstract)(Report)

BACKGROUND

Premiums have become a prominent feature of public health insurance

programs for children in recent years. This trend started in the late 1990s when many states that adopted separate non-Medicaid programs required premium payments from some income groups as part of the State Children's Health Insurance Program (SCHIP). By the end of 2004, 30 states had premiums in either their SCHIP or Medicaid waiver programs (Smith and Rousseau 2005). Earlier this decade, a number of factors, including tight state budgets and political pressures to increase financial contributions from families participating in public programs, led many states to raise premium ...

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