In this paper we compare health insurance coverage for U.S. citizen children in all-citizen and mixed families in the fifteen states with the largest share of children in mixed families. Insurance coverage is lower and state variation in coverage is higher for children in mixed families vis-à-vis children in all-citizen families. The main challenges for states are tackling uninsurance among all low-income children and addressing the very low rates of employer-sponsored insurance for all low-income children and for children in all mixed families, regardless of income. We discuss state policy options to address the needs of children in mixed families. ©2008 Project HOPE - The People-to-People Health Foundation, Inc.

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immigrant State Health Plans prenatal care health care policy health insurance human Insurance Coverage Eligibility Determination United States income Health Benefit Plans, Employee Humans Emigrants and Immigrants female pregnancy Article health care health care access medicaid Child Health Services Child