This report examines state-level trends in children's health insurance coverage. Download the report.

This report analyzes recent trends in health insurance coverage for children at the state level between 2008 and 2010. The percentage of children with public coverage through Medicaid or the Children’s Health Insurance Program (CHIP) increased substantially, while rates of private coverage and uninsurance declined. However, we find substantial variation across states.

The report is accompanied by state-level summary tables of key characteristics.  These can be downloaded as one file for all 50 states and the District of Columbia, or chosen individually from this drop-down list.

Select a state from the drop-down menu below to view state-specific fact sheets:

Presentation by Joanna Turner, "Results from the Survey of Health Insurance and Program Participation" at the Joint Statistical Meetings (JSM) on July 31, 2012 in San Diego, CA.

Presentation by Lynn Blewett, "Insurance Markets Under Different State Scenarios" at the National Governors Association meeting, "Health Care: Decision Points for States" on July 19, 2012 in Washington, DC.

This brief overviews the SHADAC Projection Model, a complex spreadsheet model that states can use to estimate the impacts of policy changes on health insurance coverage. 

The SHADAC Projection Model provides state officials with the flexibility to update baseline data or test different assumptions, and is based primarily on state-specific data.  This model was developed to address the need among states for analysis that is timely, state-specific, relatively inexpensive, and flexible for testing alternative assumptions to predict the coverage impacts of policy changes at the state level. 

Although the model was constructed specifically to help states project the coverage impacts of the ACA, the approach can be adapted to model the coverage impacts of other reform approaches as well.The brief highlights the model’s approach, data sources, assumptions, and model output.

This presentation of SHARE-funded research was given by Derek DeLia, Associate Research Professor at the Rutgers University Center for State Health Policy at the 2012 State Health Policy and Research Interest Group meeting in Orlando, FL, on June 23, 2012. The analysis looks at the impact of the Affordable Care Act's young adult dependent coverage expansion on coverage among eligible young adults and, in particular, on those young adults targeted by prior state-level young adult dependent coverage laws. The authors find a rapid and substantial increase in dependent coverage overall and the possibility of a greater ACA impact on young adults targeted by prior state-level young adult expansions.

Download a PDF of the slides.