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Reaching 100% of California's Children with Affordable Health Insurance: A Strategic Audit Of Activities And Opportunities

Summary
Of California's over 9 million children, nearly one in five has no health coverage. Today, Californians have a real opportunity to reach 100% of these kids with health coverage -- thanks to the bipartisan support that developed last summer around the implementation of the new Healthy Families program, the availability of millions of dollars of unused federal funds and money from the state's tobacco lawsuit settlement, the healthy condition of California's economy, and the number of model innovative programs currently underway in California. The first step: enroll the over 1 million currently eligible children into the new Healthy Families program and Medi-Cal. The second: find and implement solutions for covering the remaining 670,000 uninsured youngsters.

There is no single "magic bullet" to the challenge ahead. Instead, it will require the most sustained and vigorous outreach ever undertaken in California to bring kids into health care, along with targeted improvements in existing programs. In addition, it will require employers, government, health plans, counties and clinics to work together in unprecedented ways to build upon public and private sector efforts now underway so that kids not eligible for existing programs can have access to health insurance their families can afford.

This Strategic Audit lays out a roadmap for getting this job done. The analysis was carried out by The Children's Partnership in collaboration with Children Now and the Children's Defense Fund as part of the 100% Campaign. The 100% Campaign: Health Insurance for Every California Child is a coordinated endeavor of these three groups to ensure that all of California's children have quality health coverage. The Strategic Audit's contents and findings build on the extensive expertise of the 100% Campaign Partners as well as a distinguished group of experts who served as Project Advisors. The research process consisted of analyzing existing data, identifying a range of people and programs, reviewing useful material already written on the subject, and conducting extensive interviews with key sources including leaders in the health arena, employer community, public interest community, and children's field.