| Abstract: | States have exercised administrative discretion in at leastsix different ways during the intergovernmental implementationof the State Children's Health Insurance Program (CHIP) provisionof the Balanced Budget Act of 1997. States have used this flexibilityto determine when to submit their plans and when to put theCHIP program into effect. After describing the problem of uninsuredchildren in America and the politics of program adoption, multivariateanalysis is used to attempt to answer the following question:Why have some states moved more quickly than others to get plansfor introducing CHIP submitted, approved, and implemented? Thenature and extent of a relationship between a state's economic,political, and health-need characteristics, on the one hand,and the timing of submission and implementation, on the other,are examined. |
