Public Sector Reforms

Public sector initiatives are primarily Medicaid/SCHIP reforms, which provide the greatest opportunity to increase access.

Goals:

1. Increase coverage for low-income children and adults
2. Reduce costs to states
3. Reduce costs to low-income individuals
4. Maximize federal financial participation

Examples:

• Expanded eligibility and target population expansions (Arizona, California, Idaho, Illinois, Michigan, Minnesota, New Jersey, Oregon, Rhode Island)
• Expansion of coverage through reduced benefit products (Arkansas, Utah, West Virginia)
• Premium subsidies to purchase private individual or employer-sponsored insurance (Montana, Oklahoma)
• Public program buy-in for higher income (Illinois)
• Universal coverage for kids (Illinois, Pennsylvania, Wisconsin)

Framework of Reform     Reform Process     Employer-Based Reforms

Insurance Market Reforms     State Information     Financing Strategies