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CHIP Health Service Initiatives: How States Have Leveraged Federal Dollars to Fund Pediatric Social Determinant Initiatives

Nguyen, Michelle (2022) CHIP Health Service Initiatives: How States Have Leveraged Federal Dollars to Fund Pediatric Social Determinant Initiatives. Master Essay, University of Pittsburgh.

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Under Title XXI, Children’s Health Insurance Program (CHIP), states can use part of their CHIP administrative budget to implement Health Service Initiatives (HSIs). In return, they will receive the federal CHIP matching rate for HSI expenditures. These HSIs fund activities that promote public health, specifically targeting low-income children.

If states have sufficient financial capacity, they can implement multiple HSIs to fund a large range of activities. As of 2019, over 24 states have implemented over 70 total HSIs. These HSIs have funded activities that tackle issues of public health significance, including poison control, parenting education, and family planning.

This essay will examine some previously implemented HSIs that specifically address lead prevention and opioid use disorder services, as these two activities pertain specifically to Pennsylvania’s public health priorities. Additionally, the essay will address the opportunities, challenges, and overall feasibility of CHIP HSI implementation in Pennsylvania and explore which additional measures can support the state in pursuing the HSI option.


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Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Nguyen, Michellemdn26@pitt.edumdn26
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairSabik, Lindsaylsabik@pitt.edlsabikUNSPECIFIED
Committee MemberFelter, Elizabethemfelter@pitt.eduemfelterUNSPECIFIED
Date: 17 May 2022
Date Type: Completion
Submission Date: 19 April 2022
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Number of Pages: 49
Institution: University of Pittsburgh
Schools and Programs: School of Public Health > Health Policy & Management
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Uncontrolled Keywords: CHIP, HSI, children, healthcare
Date Deposited: 17 May 2022 22:06
Last Modified: 17 May 2022 22:06


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