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Providing High-Quality Services to Children with Special Health Care Needs (CSHCN) Under Managed Care

Expanding Health Insurance Coverage

For Uninsured Children


Steve Freedman, Ph.D., F.A.A.P., Executive Director, Institute for Child Health Policy, State University System of Florida, Gainesville, FL.

With the recent passage of the Balanced Budget Act of 1997, States have been provided an exciting new opportunity to extend federally-subsidized health insurance to uninsured children.

In this session, Steve Freedman, Executive Director of the Institute for Child Health Policy at the University of Florida, provided an overview of the issue of insurance coverage for children and current solutions, a summary of the new law, and a discussion of the alternative programs that are likely to grow from it. Dr. Freedman introduced two alternative approaches to the use of child health insurance funding:

  • Building a unified administration for State-supported child health insurance.
  • Merging Titles V and XXI in order to provide a consolidated financing system for coverage of CSHCN.

In addition, Dr. Freedman discussed the Florida Healthy Kids Program, a public-private partnership that will provide comprehensive managed care coverage to 60,000 kids in the State by mid-1998.


House Resolution 2015, Subtitle J State Children's Health Insurance Program.

Alliance for Health Reform. Managed Care and Vulnerable Americans. Children with Special Health Care Needs, July 1997:1-4.

Children's Defense Fund. Background Material for New Program On Children's Health Insurance. Washington, DC.

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