Improving coverage and access for immigrant latino children: The Los Angeles healthy kids program

Health Affairs

Volumn 27, Issue 2, 2008, Pages 550-559

  Hill, Ian ^a   Dubay, Lisa ^b   Kenney, Genevieve M ^a   Howell, Embry M ^a   Courtot, Brigette ^c   Palmer, Louise ^a  

^a URBAN INSTITUTE   (United States)

^b JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH   (United States)

^c National Women's Law Center

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ADULT; ARTICLE; CHILD; CONTROLLED STUDY; HEALTH CARE; HEALTH CARE ACCESS; HEALTH CARE PERSONNEL; HEALTH INSURANCE; HEALTH PROGRAM; HEALTH SERVICE; HISPANIC; HUMAN; IMMIGRANT; INFANT; SOCIAL STATUS; UNITED STATES;

CHILD; CHILD HEALTH SERVICES; EMIGRANTS AND IMMIGRANTS; FEMALE; HEALTH SERVICES ACCESSIBILITY; HEALTHY PEOPLE PROGRAMS; HISPANIC AMERICANS; HUMANS; LOS ANGELES; MALE;

EID: 41749108630     PISSN: 02782715     EISSN: 02782715     Source Type: Journal    
DOI: 10.1377/hlthaff.27.2.550     Document Type: Article

References (18)

1. K. Fortuny, R. Capps, and J.S. Passel, The Characteristics of Unauthorized Immigrants in California, Los Angeles County, and the United States, March 2007, http://www.urban.org/UploadedPDF/ 411425_Characteristics_Immigrants.pdf (accessed 19 November 2007).
2. G. Kenney, J. McFeeters, and J. Yee, How Far Can the Healthy Kids Program Goin Closing Coverage Gaps for Children in Los Angeles County? A Baseline Analysis with the 2002/2003 Los Angeles County Health Survey, 3 October 2006, http://www.urban.org/UploadedPDF/411466_healthy_kids.pdf (accessed 19 November 2007).
3. Z.J. Huang, S.M. Yu, and R. Ledsky, "Health Status and Health Service Access and Use among Children in U.S. Immigrant Families," American Journal of Public Health 96, no. 4 (2006): 634-640;
4. N.S. Shah and O. Carrasquillo, "Twelve-Year Trends in Health Insurance Coverage among Latinos, by Subgroup and Immigration Status," Health Affairs 25, no. 6 (2006): 1612-1619;
5. V.D. Ojeda and E.R. Brown, "Mind the Gap: Parents' Citizenship as Predictor of Latino Children's Health Insurance," Journal of Health Care for the Poor and Underserved 16, no. 3 (2005): 555-575;
6. and G. Kenney, J. McFeeters, and J. Yee, Access Gaps among Uninsured Children in LA County: Baseline Findings from the 2002/2003 LA County Health Survey, 3 October 2006, http://www.urban.org/UploadedPDF/ 411463_uninsured_children.pdf (accessed 19 November 2007).
7. Twenty-five of California's fifty-eight counties have operational CHIs. The Los Angeles CHI was co-convened by the nonprofit LA Care Health Plan, the California Endowment, and the Los Angeles County Department of Health Services.
8. For case-study and focus-group methods, see I. Hill, B. Courtot, and E. Wada, A Healthy Start for the Los Angeles Healthy Kids Program: Findings from the First Evaluation Site Visit, December 2005, http://www.urban.org/ UploadedPDF/411259_healthy_kids.pdf (accessed 19 November 2007);
9. and I. Hill et al., What Do Parents Say about the Healthy Kids Program? Findings from Focus Groups with Parents of Healthy Kids Enrollees, March 2006, http://www.urban.org/UploadedPDF/410308_parents_say.pdf (accessed 19 November 2007).
10. For survey methods, see E. Howell et al., A Profile of Young Children in the Los Angeles Healthy Kids Program: Who Are They and What Are Their Experiences on the Program? October 2006, http://www.urban.org/UploadedPDF/ 411370_healthy_kids.pdf (accessed 19 November 2007);
11. and E. Howell, L. Dubay, and L. Palmer, The Impact of the Los Angeles Healthy Kids Program on Access to Care, Use of Services, and Health Status, July 2007, http://www.urban.org/UploadedPDF/411503_impact_healthy_kids.pdf (accessed 19 November 2007).
12. This assumes that all of the program effects for established enrollees occurred during the first year of the program, which is likely reasonable for outcomes presented here, but not for other outcomes such as health status.
13. That is, that enrolling in a government-sponsored insurance program would harm their efforts to obtain citizenship.
14. The Omnibus Budget Reconciliation Act of 1986 makes federal funds available to states for coverage of "Emergency Medicaid" for undocumented aliens who need emergency or pregnancy-related care.
15. Families with incomes below 133 percent of poverty pay no premiums; others may request "premium assistance" if they are having trouble making payments.
16. Because of a coding error in Wave 1, only children who had an ambulatory care visit were asked the dental care questions. Consequently, this analysis is limited to these children.
17. For example, the Kaiser Child Health Plan committed support for coverage of up to 1,700 children.
18. C. Trenholm et al., "Three Independent Evaluations of Healthy Kids Programs Find Dramatic Gains in Well-Being of Children and Families," In Brief no. 1 (Los Altos, Calif.: David and Lucile Packard Foundation, November 2007).