Timeline of State Coverage Strategies in 2008: Evolving with Time and Effort

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Minnesota passed comprehensive delivery system reform legislation. Maryland implemented Medicaid expansion and established a small business premium subsidy program. Several states pursued strategies to cover all children, including Iowa, New Jersey, New York, Wisconsin, Illinois (2006) and Pennsylvania (2007).


Governor Sarah Palin estblished the Alaska Health Care Commision to provide recommendations for and enable the development of a statewide paln to address the quality, accessibility, and availability of health care.


Enacted an SCHIP expansion to 225 percent FPL from 205 percent FPL for Colorado's Child Health Plan Plus (CHP+).


Released a draft report, authored by the HealthFirst Connecticut Authority, that makes recommendations for expanding coverage and transforming the delivery system.


Governor Charlie Crist signed into law Cover Florida and Florida Health Choices. Cover Florida calls for the state to negotiate with insurers to provide a low-cost insurance product for the uninsured. Florida Health Choices expands the number and types of plans available to the uninsured.


Enacted health reform legislation to address the quality and affordability of health care among Iowans. The legislation expanded coverage for children up to 300 percent FPL by 2010. It also created the Iowa Choice Health Care Coverage Advisory Council to develop a plan to provide health coverage to all state residents within five years.


Passed a health reform bill that includes an expansion of Health-Wave (Medicaid and SCHIP) for children from the current level of 200 percent FPL to 225 percent FPL beginning in 2009, and to 250 percent FPL by 2010 - once federal funding becomes available.


Enacted an SCHIP eligibility expansion for children up to 250 percent FPL from 200 percent FPL.


Impemented a Medicaid expansion from 30 percent FPL to 116 percent FPL for parents and a premium subsidy program for small businesses. This legislation is expected to cover approximately 100,000 previously uninsured Maryland residents.


Law enacted to promote cost containment, transparency and efficiencyin the delivery of quality health care. The uninsurance rate falls to 2.6 percent.


Passed a broad and historic health reform bill focused on the improvement of health care coverage and affordability. It included payment reform, expanded price and quality transparency, chronic care management, administrative efficiency, and public health. The reform requires that health care cost savings be measured against projected costs without reform. The bill also expanded public coverage for childless adults from 215 percent FPL to 275 percent FPL.

New Hampshire

Enacted a health insurance plan designed to make coverage more affordable to small businesses by emphasizing wellness programs and prevention.

New Jersey

Governor Jon Corzine signed into law a health reform bill which requires all residents 18 years old or younger to have health insurance coverage and which legislative sponsors describe as the first phase in guaranteeing health coverage for all New Jersey residents. This bill also included an increase in eligibility for parents in the FamilyCare program from 133 percent FPL to 200 percent FPL.

New York

After CMS denied its waiver request, New york implemented an SCHIP eligibility expansion from 250 percent FPL to 400 percetn FPL with state funds alone.

North Dakota

CMS approved North Dakota's request to expand SCHIP eligibility from 140 percent FPL to 150 percent FPL.


An advisory group appointed by Governor Ted Strickland produced a comprehensive report that included recommendations to reduce the number of uninsured Ohioans by half and to increase the number of small businesses able to offer coverage to their workers.


The Oklahoma State Coverage Initiative team, a group of state leaders representing the state legislature, government agencies, the private sector and tribal organizations, released their Bluprint for Oklahoma report with draft recommendations for ensuring that all Oklahomans have access to high qualtiy health care and affordable health insurance.


Released a comprehensive plan authored by the Oregon Helath Fund Board to create a world-class health system for Oregon.


Early in the year, created a task force to develop recommendations for health reform. Drafted recommendations included various insurance market reforms; streamlining and standardizing various aspects various aspects of provider, insurer and consumer interactions and communications; and requiring certain contractors who do business with the state to offer health insurance to their qualified employees.


Wisconsin began implementation of its Badger Care Plus program, enrolling over 115,000 individuals in the program’s first year, including over 70,000 children.  This program provides coverage to all uninsured children and parents who earn up to 200 percent of FPL.  Families that earn above 200 percent of FPL pay sliding scale premiums for children’s coverage.  Pregnant women coverage was expanded to 300 percent of FPL.