Lessons from prior state policies regarding expansions for children and parents can be useful in guiding states’ current decision-making. Drawing on their HCFO-funded work, grantees E. Kathleen Adams, Emory University, and Patricia Ketsche, Georgia State University, provide a comprehensive analysis of the effect of state expansions targeting parents and children from 1999 to 2012, along with the effect of premiums and subsidies that accompanied such expansions on family coverage decisions. The researchers found that overall levels of coverage increased even when states expanded eligibility through programs with premiums, although higher public and private premiums had a negative impact on insurance status.
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