Health Affairs

Health Affairs, 26, no. 1 (2007): 258-268 doi: 10.1377/hlthaff.26.1.258 © 2007 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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DataWatch

Coping With SCHIP Enrollment Caps: Lessons From Seven States’ Experiences

Ian Hill, Brigette Courtot and Jennifer Sullivan

Seven states with separate (as opposed to Medicaid expansion) State Children’s Health Insurance Programs (SCHIP) implemented enrollment caps during the 2001–2003 recession. Interviews with SCHIP officials and Covering Kids and Families grantees in these states examined implementation policies and their effects on enrollment, outreach, and public support. Enrollment caps were generally maintained for less than a year and resulted in large spending reductions, but enrollment declined steeply. Most key informants indicated that caps were preferable to reversals of simplified enrollment, comprehensive benefits, and low cost sharing and thus offered policymakers an important tool for controlling costs.

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