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The Impact of the State Children's Health Insurance
Pages 7-8

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From page 7...
... New financing sources may eventually emerge to provide a stable platform for essential services that benefit and protect the health of the community, but at present state and local health agencies are exper~encing significant instability in imrnun~zation efforts during times of transition and change in the health care system. '1 H E IMPACT OF THE STATE ClIILDREN'S HEALTH INSURANCE PROGRAM Changes in the organization of health care services for disadvantaged families appear to have significant impact on the structure of the vaccine deliver system in many underse~ved communities, but this impact is uneven and its elect on actual immunization coverage rates remains uncertain.
From page 8...
... Public health clinics may oRen provide an important source of immunization services for young children when a family's insurance status is uncertain, interrupted, or limited in coverage. VFC-eligible families may no longer qualify for vaccine discounts under some non-Medicaid CHIP programs.~3 Therefore, the relationship of managed care payment status to access to vaccine services in private medical offices deserves special consideration, particularly if individuals or families who once relied upon VFC in private health care centers are now referred to public health clin ~cs.


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