Getting and keeping coverage: states' experience with citizenship documentation rules
- Collection:
- Health Policy and Services Research
- Contributor(s):
- Summer, Laura. Commonwealth Fund.
- Publication:
- [New York, N.Y.] : Commonwealth Fund, [2009]
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Eligibility Determination -- legislation & jurisprudence Insurance Coverage -- legislation & jurisprudence Medicaid -- legislation & jurisprudence Adult Child Documentation Forecasting Insurance Coverage -- statistics & numerical data Insurance Coverage -- trends Insurance, Health -- legislation & jurisprudence Insurance, Health -- statistics & numerical data Insurance, Health -- trends Medicaid -- statistics & numerical data Medicaid -- trends State Government Humans United States
- Genre(s):
- Technical Report
- Abstract:
- Federal regulations, which took effect in mid-2006, require that individuals provide proof of citizenship when applying for or renewing coverage under public health insurance options such as Medicaid. This report examines the impact that these citizenship documentation rules have had on coverage stability in the public programs of seven states--Alaska, Arizona, Kansas, Louisiana, Ohio, Virginia, and Washington--and it finds that the rules have made the getting and keeping of children and families' coverage more difficult. The new requirements increased the complexity, administrative burden, and costs of enrollment and renewal in each state, and in some cases the rules even compromised other processes. The rules' specific effects on applicants and enrollees differed in each state, depending on the state's circumstances, its approach to implementing the rules, and its organizational and technological capacity. But some of the positive activity that occurred can be replicated elsewhere and extended.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
- Illustrations:
- Illustrations
- NLM Unique ID:
- 101517494 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101517494