Comprehensive Coverage for Kids

Illinois: All Kids

Public Sector: reform implemented July 1, 2006

Eligibility:

• All Illinois children are eligible 
  • No upper income limit; all uninsured kids are eligible
  • Sliding fee scale starting at $40 a month with a $10 physician co-pay
• Phase-in of parents up to 185% of FPL
• Has enrolled over 100,000 kids

Financing: Financed with savings from est. savings from adoption of primary care case management model

For more information: All Kids website
 

Pennsylvania: Cover All Kids

Public Sector: SCHIP expansion, implemented January 2007

Eligibility:

• Expanded SCHIP from 200% to 300% FPL
• Families with incomes >300% FPL may buy-in if:
  • Coverage has been denied due to a preexisting condition,
  • Private insurance premiums are 150 percent higher than the state's monthly premium,
  • The cost of insurance exceeds 10 percent of annual family income
• Premium subsidies for parents who can access private insurance but cannot afford the premiums

Financing:

• Federal funding
• State general fund revenue
• Sliding scale premiums:$36 to $57 per child per month, higher for families over 300 FPL

Other states proposing comprehensive coverage for kids:  Oregon, Washington, New Mexico, Wisconsin

For more information: Cover All Kids website

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