HHS Strategic Goals and Objectives - FY 2001 . Objective 3.1 - Increase the Percentage of the Nation's Children and Adults Who Have Health Insurance Coverage


How We Will Accomplish Our Objective

We will continue to assist states in their efforts to promote and publicize the opportunity for eligible children and adults to enroll in Medicaid. Our strategy includes asking states to review their computer systems and eligibility processes to ensure that all families that are eligible for Medicaid benefits keep them, and asking states to reinstate anyone who may have been improperly terminated from the program.

We will continue to identify and enroll eligible children and adults in the State Children's Health Insurance Program (SCHIP) and the Qualified Medicare Beneficiary and Specified Low-Income Medicare Beneficiary programs and ensure that enrolled beneficiaries have access to comprehensive health care.

We will support ongoing implementation of the State Children's Health Insurance Program by:

  • continuing ongoing discussions with Congress, advocates, and other interested parties to ensure that the needs of children are being addressed by SCHIP.

  • continuing to work with states to further expand and refine state programs through the approval of state plan amendments, the provision of technical assistance, and the dissemination of best practices.

3.1 Implementation Strategies
  • Medicaid/SCHIP Enrollment
  • HIPAA Enforcement
  • Promoting Legislation to Expand Coverage
  • Enforcing Non-Discrimination
  • Research

We will implement the Health Insurance Portability and Accountability Act (HIPAA) by carrying out enforcement activities in states which fail to substantially enforce HIPAA and for nonfederal governmental plans that are self-funded and insured, and by issuing implementing regulations for HIPAA and related amendments.

We will promote adoption of legislation to:

  • allow Medicare buy-in for certain people below age 65.

  • allow access to all Medigap options if a beneficiary is in a Health Maintenance Organization (HMO) that withdraws from Medicare.

  • expand the initial six-month open-enrollment period in Medigap to newly disabled individuals and beneficiaries with End Stage Renal Disease.

  • expand insurance coverage to parents of children in the State Children's Health Insurance Program and certain other targeted groups.

  • develop lower cost options for Medigap supplemental health insurance (in coordination with the National Association for Insurance Commissioners).

We will enforce nondiscrimination in the State Children's Health Insurance Programs, Medicare, and Medicaid through reviews and technical assistance on civil rights compliance.

We will conduct research to:

  • study the most effective ways to enroll children.

  • evaluate the effectiveness of programs designed to provide insurance coverage for children, including the impact of the programs on child access to appropriate health services.

HHS Agencies contributing to this objective:


  • better understand the factors that impede or enhance access to health care insurance and access to health care for those who are insured.

  • track state-level changes in health insurance coverage, access to care, health status, and use of health services.

  • study the reasons people make the decisions they do (beyond affordability) regarding whether to purchase health insurance.