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A Tale of Two Counties: Expanding Health Insurance Coverage for Children in California

机译：两县的故事：扩大加利福尼亚州儿童的健康保险覆盖面

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摘要

During difficult economic times, many California counties have expanded health insurance coverage for low-income children. These Children's Health Initiatives (CHIs) enroll children in public programs and provide new health insurance, Healthy Kids, for those ineligible for existing programs. This article describes the policy issues in implementing the Santa Clara and San Mateo County CHIs, as well as the children's enrollment levels and utilization of services. These CHIs are among the first of the thirty California counties planning or implementing such initiatives. Their success depends on leadership from county agencies that have not traditionally worked closely together, as well as the development of a diverse public and private funding base. This effort to provide universal coverage for all children is important to national policymakers desiring similar goals.
机译：在经济困难时期，许多加利福尼亚州县已扩大了针对低收入儿童的健康保险范围。这些儿童健康倡议（CHIs）将儿童纳入公共计划，并为不符合现有计划资格的人提供新的健康保险，即健康儿童。本文介绍了实施圣塔克拉拉（Santa Clara）和圣马特奥县（San Mateo County）CHI的政策问题，以及儿童的入学率和服务使用情况。这些CHI是计划或实施此类计划的加利福尼亚州30个县中的第一个。它们的成功取决于传统上没有紧密合作的县级机构的领导以及多元化的公共和私人资金基础的发展。为所有儿童提供全民医疗服务的努力对于希望实现类似目标的国家政策制定者很重要。

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