Performance Improvement 2004. Health Care Coverage Among Child Support-Eligible Children


The Child Support Performance and Incentives Act of 1998 (CSPIA) required HHS to establish a joint HHS/DoL Medical Child Support Working Group to suggest improvements to medical child support enforcement. The Working Group’s report to Congress, released in 2000, includes comprehensive recommendations to shift from the noncustodial parent to the custodial parent as the preferred health insurance carrier (though not necessarily the payer). The Working Group also recommended that the child support enforcement program assist children in the their caseload that are without private insurance to gain access to public coverage. This report assesses the potential effects of these recommendations by using the 1999 National Survey of America’s Families in order to determine the health care coverage status of child support-eligible children who live with their mothers and estimate their eligibility for Medicaid and the State Children’s Health Insurance Program (SCHIP). Key findings show that custodial mothers already provide much health care coverage for their children, modest gains in private insurance coverage could be made by enrolling currently uninsured children in private health care coverage that is already available to one of their parents, and many child support-eligible children are also eligible for Medicaid or SCHIP.

PIC ID: 8112
Agency Sponsor: ASPE-OHSP, Office of Human Services Policy
Federal Contact: Burnszynski, Jennifer, 202-690-8651
Performer: Urban Institute, Washington, DC

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