Presentation by SHADAC research assistant Kerry Landry describes how  enrollees in the Minnesota Comprehensive Health Association (MNCH), the state's high risk pool, will be affected by coverage options in ACA and addressed a technique for estimating how many will qualify for Medicaid.  Presented at the 2011 Minnesota Health Services Research Conference, March 1, 2011 in St. Paul, MN.

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Presentation by SHADAC research assistant Jessie Kemmick-Pintor, "Left out under Federal Health Reform: Undocumented immigrant adults excluded from ACA Medicaid Expansions," describing estimates of the number of people who will not be covered under the Affordable Care Act at the state level, and the implications for safety net providers in the states.  Presented at the 2011 Minnesota Health Services Research Conference, March 1, 2011 in St. Paul, MN.

For a related Issue Brief with state estimates, see "State Estimates of the Low-income Uninsured not Eligible for the ACA Medicaid Expansion."

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Blewett, L., & Bindman, A. 2011. “Harvesting the Lessons of State Health Policy.” Health Services Research 46(1): 246-250.

Findings of the first round of State Health Access Reform (SHARE) projects funded by the Robert Wood Johnson Foundation (RWJF), published in a special February 2011 supplement to HSR: Health Services Research, are synopsized in this article by SHARE Director Lynn A. Blewett and former RWJF Health Policy Fellow Andrew B. Bindman.

The eight "lab reports" cover the following topics:

• An assessment of the impact of requiring insurers to offer health insurance to adult dependent children up to age 26.
• Two evaluations: One of New Mexico's State Coverage Insurance programs and one of Rhode Island's Healthpact programs to subsidize insurance for low-income adults.
• The effect of increased Medicaid reimbursement rates, premium forgiveness and delivery system changes on receipt of preventive care in Idaho and Kentucky.
• Two studies looking at enrollment system changes—in California and Wisconsin—as a way to increase health coverage.
• A report on the effect in three states' plans that allow tax-free premiums for individuals working for small employers to purchase insurance.
• A comparison of changes in coverage and access in Massachusetts and New York—two states that implemented reforms.

These studies highlight the important role states play in health reform that will increase under the Patient Protection and Affordable Care Act as states expand their Medicaid programs and operate their own health insurance exchanges.

Quinn, B., 2011 "State-Level Health Policy Research: Looking Back, Looking Ahead." Health Services Research 46(1): 243-245.

The Robert Wood Johnson Foundation (RWJF) supports research on state-level policy efforts through its State Health Access Reform Evaluation (SHARE) initiative. This editorial by Brian C. Quinn, RWJF Director, Health Policy Analysis in Research and Evaluation, introduces a special February 2011 supplement of HSR: Health Services Research, providing a framework for subsequent articles by eight SHARE grantees.

In a post-ACA health policy environment, state outcomes continue to be vital sources of information for two key reasons:

1. Previous state experimentation efforts, such as Massachusetts health reform, demonstrated that reforms can succeed and paved the way for ACA.
2. The need for state-level policy research will grow as states implement some of the largest and most important elements of ACA. State-level variations can provide evidence of how policy changes work in different settings.

For a synopsis of the eight "lab reports," see "Harvesting the Lessons of State Health Policy" by SHARE Director Lynn A. Blewett and Andrew Bindman.

Webinar presentation by Elizabeth Lukanen for the January 20, 2011 National Leadership Series (NLS) webinar regarding the State Health Access Program (SHAP).  The NLS is a webinar series sponsored by the Health Research and Services Administration (HRSA) designed to engage communities in peer-to-peer learning.  The January 20, 2011 webinar featured the SHAP program and focused on Oregon and Washington.   Elizabeth presented, "State Health Access Program (SHAP) - Data and Evaluation," during which she discussed SHADAC’s role providing technical assistance to the SHAP states and the importance of the SHAP evaluations in identifying lessons relevant for state implementation of the Affordable Care Act.

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