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Cover More Kids
Strategies to reduce the number of Children and Youth with Special Health Care Needs who do not have health insurance.
Five to nine percent of Children and Youth with Special Health Care Needs (CYSHCN) are without health insurance coverage. While the percent of uninsured CYSHCN may be small compared to that of the general population, for those approximately 900,000 children the lack of health insurance is a fundamental threat to their health, development and well-being. Strategies to reduce the number of CYSHCN who do not have health insurance include:
- Expand eligibility for the State Children’s Health Insurance Program (CHIP);
- The TEFRA State Plan Option for Severely Disabled Children (formerly Katie Beckett waivers);
- Home and Community-Based Services Waivers (referred to as 1915c waivers);
- Premium assistance;
- Assistance with other costs of insurance;
- Private sector initiatives;
- Comprehensive health care reform;
- Medicaid buy-in programs; and
- Other strategies to expand coverage
Financing Strategies for CYSHCN
Additional Resources
- Medicaid Buy-in Programs: Reducing Under-Insurance for Children and Youth with Special Health Care Needs (Catalyst Center Brief) [PDF]
- The Family Opportunity Act and Children & Youth with Special Health Care Needs (Catalyst Center Presentation) [PDF]
- Case Study: Buying into a Medicaid Buy-in Program: The Texas Experience (Catalyst Center Report)
- The Essential Components of Health Care Reform for Children with Special Health Care Needs (Catalyst Center Brief)
- Why Health Insurance is Important to Children and Youth with Special Health Care Needs (Catalyst Center Brief)
- Payer of Last Resort: Medical Debt and Financial Hardship among Families Raising Children and Youth with Special Health Care Needs (CYSHCN) (Catalyst Center Brief)
- Breaking the Link between Special Health Care Needs and Financial Hardship (Catalyst Center Report)


