Cutler Institute for Health and Social Policy

Health Insurance Coverage of Low-Income Rural Children Increases and is More Continuous Following CHIP Implementation

Abstract: 

Prior to the passage of CHIP, about one in four low-income rural and urban children (family income below 200% of the federal poverty level) were uninsured in a given month. Using data from the Medical Expenditure Panel Survey (MEPS), this study found that in the years following CHIP’s implementation health insurance coverage and continuity increased among low-income children—particularly for those living in rural areas. By CHIP’s maturity, coverage for rural children improved so much that their uninsured rate dropped below that of urban children (14% compared to 20%, respectively). Among those with health insurance, rural children were more likely than their urban counterparts to lose coverage pre-CHIP, and were less likely to lose it after CHIP was in place for five or more years. Whether low-income rural adults will see similar gains in coverage continuity under the Affordable Care Act may depend on whether states choose to participate in Medicaid expansions, and what outreach strategies they use to enroll rural populations.

Suggested Citation: Ziller EC. Health Insurance Coverage of Low-Income Rural Children Increases and Is More Continuous Following CHIP Implementation. Portland, ME: University of Southern Maine, Muskie School of Public Service, Maine Rural Health Research Center; 2013. Policy Brief PB-53.

Publication Type: 
Research and Policy Brief
Publish Date: 
March 31, 2014
URL: 
http://muskie.usm.maine.edu/Publications/rural/Health-Insurance-Coverage-Rural-Low-income-Children.pdf

Muskie Public Health Graduate Students Present at Maine CDC Conference

MPH graduate student Trevey Davis describing the academic program to a conference attendee at Maine CDC Division of Infectious Disease Annual Conference.

The Muskie School of Public Service, Graduate Program in Public Health, and the Maine Public Health Institute exhibited at the Maine CDC Division of Infectious Disease Annual Conference and the concurrent Immunization Annual Conference.  Practice faculty member, Judy Tupper, DHEd, CHES, CPPS and MPH graduate student Trevey Davis spoke with many of the 500 public health professionals attending the conferences.  In addition, Muskie Public Health Education Corps members Carissa Parent, Jacey Keller, and Nikki Busmanis, (MPH graduate students) presented a research poster based on their recent Lyme disease educational intervention pilot in Maine schools.  Dr. Tupper also presented a poster regarding the results of the online training pilot program for Maine EMS personnel on the topic of infection control and prevention.  Educating Fifth Graders on Tick- and Mosquito-Borne Diseases and Prevention Methods" at the Maine CDC Division of Infectious Disease Annual Conference.

Learn More

Justice Research

Cover: Maine Crime and Justice Data Book 2014

Using the most recent public safety, corrections, and court data available, the Maine Crime and Justice Data Book presents a portrait of the state's crime and justice indicators, including 10-year trends in Maine and comparisons with northern New England and the U.S. at large.

Learn More

MYTC 2014 Celebration

Colby Swettberg, May 2014, MYTC

Every year the Maine Youth Transition Collaborative brings together youth and adult partners from around Maine to celebrate the year's achievements and milestones.

2014
MYTC’s fourth annual celebration dinner was held at the Brunswick Hotel and Tavern on May 13, 2014. Over seventy young adults, adult partners, professionals, legislators, adoptive families, and friends came together for an evening of fun, renewed connections, learning, and good food.

The importance of mentors in the lives of young people was the theme for the evening. The keynote speaker, Colby Swettberg, Executive Director of Adoption and Foster Care Mentoring in Boston, was introduced by Jacob Hills. Ms. Swettberg talked about what good mentor-mentee relationships look like for youth in foster care and led a discussion about best practices and challenges to bringing youth and mentors together.

Learn More

Connect With Us