Policy Adoption of the Special Design (SD) Provision in the State Children's Health Insurance Program

• Author: Sang‐Chul Park,Keon‐Hyung Lee,Se‐Jin Lee
• DOI: http://doi.org/10.2202/1948-4682.1119
• Published date: 01 December 2010
• Date: 01 December 2010

World Medical & Health Policy

www.psocommons.org/wmhp

Vol. 2: Iss. 4, Article 5 (2010)

Policy Adoption of the Special Design

(SD) Provision in the State Children’s

Health Insurance Program

Sang-Chul Park, Florida State University

Se-Jin Lee, Florida State University

Keon-Hyung Lee, PhD, Florida State University

Abstract

Introduction: Political partisanship and institutional arrangement can influence a

state’s decision to include special provisions (e.g., a premium assistance program, an

enrollee buy-in program, coverage expansion, and health services initiatives) in the

State Children’s Health Insurance Program (SCHIP).

Methods: Four publish ed sources of data on SCHIP for 2005 were subjected to

logistic regression an alysis to investigate the political and practical relationships.

Results: The logistic regression analysis reveals that a Democratic governor and

dominance in both the upper and lower legislative bodies combined with the

existence of a SCHIP increase th e likelihood that special design features will be

adopted.

Conclusions: Democratic political dominance in the United States favors expanded

SCHIP. States with more limited income eligibility are less likely to adopt special

design provisions. The dominance of liberal ideology in politics, an increased

organizational flexibility, and the existing scope of beneficiaries provide the

conditions for addressing a new children’s health policy in international countries.

Keywords: State Children’s Health Insurance Program (SCHIP), special design,

political ideology, institutional arrangement

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© 2010 Policy Studies Organization

Author Notes: There is no conflict of interest declared. Corresponding author:

Keon-Hyung Lee. Ph.D., Associate Professor, Askew School of Public

Administration and Policy, Florida State University, Tallahassee, FL 32306. E-mail:

Recommended Citation:

Park, Sang-Chul; Se-Jin Lee; and Keon-Hyung Lee (2010) “Policy Adop tion of the

Special Design (SD) Provision in the State Children’s Health Insurance Program,”

World Medical & Health Policy: Vol. 2: Iss. 4, Article 5.

DOI: 10.2202/1948-4682.1119

http://www.psocommons.org/wmhp/vol2/iss4/art5

klee2@fsu.edu

.

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World Medical & Health Policy, Vol. 2 [2010], Iss. 4, Art. 5

http://www.psocommons.org/wmhp/vol2/iss4/art5

DOI: 10.2202/1948-4682.1119