abstract: 'Purpose: To examine the effect of recent federal and state policy

  changes on adolescents'' eligibility and enrollment in Medicaid and the

  State Children''s Health Insurance Program (SCRIP).

  Methods: By analyzing relevant provisions in federal and state laws,

  approved state plans and amendments, annual reports and evaluations, and

  enrollment data provided by states, this article explores the extent to

  which states have taken full advantage of opportunities to expand

  Medicaid and SCRIP eligibility for adolescents.

  Results: Between March 1997 and September 2001, states made significant

  progress toward expanding Medicaid and SCRIP coverage for adolescents.

  During that time, the number of states that provided Medicaid coverage

  to all poor adolescents aged younger than 19 years doubled, most states

  eliminated the disparities that previously existed in Medicaid

  eligibility levels for younger children and adolescents, and virtually

  every state raised the income level at which adolescents are eligible

  for public coverage in either Medicaid or SCRIP. These changes resulted

  in an increase in the number of adolescents who are enrolled in Medicaid

  and SCRIP. Nevertheless, many states implemented other policies that

  create barriers to adolescents'' eligibility and enrollment.

  Conclusions: Despite recent expansions of public insurance eligibility,

  millions of adolescents remain uninsured. Much work remains to address

  eligibility gaps and to ensure that eligible adolescents are actually

  enrolled and use services. The current political and economic

  environment threatens to undermine the ability of adolescents to access

  services through these important programs. (C) Society for Adolescent

  Medicine, 2003.'
affiliation: 'Morreale, MC (Corresponding Author), Ctr Adolescent Hlth \& Law, 310
  Kildaire Rd,Suite 100, Chapel Hill, NC 27516 USA.

  Ctr Adolescent Hlth \& Law, Chapel Hill, NC 27516 USA.'
author: Morreale, MC and English, A
author_list:
- family: Morreale
  given: MC
- family: English
  given: A
da: '2023-09-28'
doi: 10.1016/S1054-139X(03)00066-1
files: []
issn: 1054-139X
journal: JOURNAL OF ADOLESCENT HEALTH
keywords: 'access to health care; adolescent health services; delivery of health

  care; health insurance; health policy; Medicaid; State Children''s Health

  Insurance Program'
language: English
month: JUN
number: 6, S
number-of-cited-references: '38'
pages: 25-39
papis_id: 1972639292838be915276776abf2ff2a
ref: Morreale2003eligibilityenrollmen
times-cited: '26'
title: 'Eligibility and enrollment of adolescents in Medicaid and SCRIP: Recent progress,
  current challenges'
type: Article
unique-id: WOS:000183457400004
usage-count-last-180-days: '0'
usage-count-since-2013: '2'
volume: '32'
web-of-science-categories: 'Psychology, Developmental; Public, Environmental \& Occupational
  Health;

  Pediatrics'
year: '2003'