Health Affairs

Health Affairs, doi: 10.1377/hlthaff.28.3.w399 (Published online March 17, 2009) © 2009 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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Beyond Incrementalism? SCHIP And The Politics Of Health Reform

Jonathan B. Oberlander ^1* Barbara Lyons ²

¹ Jonathan Oberlander is an associate professor, social medicine and health policy and management, at the University of North Carolina at Chapel Hill.
² Barbara Lyons is a vice president of the Kaiser Family Foundation and deputy director of the foundation's Commission on Medicaid and the Uninsured in Washington, D.C.

^*Corresponding author.

Abstract

When Congress enacted the State Children's Health Insurance Program (SCHIP) in 1997, it was heralded as a model of bipartisan, incremental health policy. However, despite the program's achievements in the ensuing decade, SCHIP's reauthorization triggered political conflict, and efforts to expand the program stalemated in 2007. The 2008 elections broke that stalemate, and in 2009 the new Congress passed, and President Barack Obama signed, legislation reauthorizing SCHIP. Now that attention is turning to comprehensive health reform, what lessons can reformers learn from SCHIP's political adventures? [Health Affairs 28, no. 3 (2009): w399-w410 (published online 17 March 2009; 10.1377/hlthaff.28.3.w399)]

Key Words: Access To Care, Health Reform, Insurance Coverage - Children, Managed Care - Medicaid, Maternal And Child Health, Medicaid, Politics

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