SCHIP had very little impact on CHC sites; SCHIP/Medicaid enrollment was slow; and once children obtained SCHIP, few lost coverage over a 12-month period. Bureaucratic obstacles to SCHIP application and factors that promoted successful application (e.g., establishing a protocol for uninsured patients) were identified. Current CHC users reported being long-time users, and few reported taking their children to other non-health centers for care. Nearly all focus group participants reported that with insurance coverage, they were less apt to delay care. Based on study findings, the report provided useful, targeted recommendations for CHCs and states.