California counties—which for more than
two decades have had the primary responsibility
for providing health care to uninsured residents—have
created a nationally recognized model for expanding health coverage
and creating systems change called the Children’s Health
Initiative (CHI). Santa Clara County launched the first CHI
in 2001 with a diverse mix of public financing and private foundation
support. CHIs have established a vision of health coverage for
all children that are county residents. To date, these programs
have cumulatively enrolled approximately 87,000 children in their
Healthy Kids programs and covered tens of thousands more under
Medi-Cal and Healthy Families.
The California Map below
shows the current status and developmental stage of each CHI.
CHI evolution occurs across four developmental stages with the
amount of time spent in each stage varying based on available
financing, operational and systems capabilities and local conditions.
Click on the map legend to get a description of each stage.