Expanding Health Care Coverage

Grantee Name

Children’s Defense Fund-New York

Funding Area

Expanding Health Care Coverage

Publication Date

April 2011

Grant Amount


Grant Date:

December 2007–March 2009


While more than 2.3 million New Yorkers, including 400,000 children, are uninsured, 1.2 million of them are eligible for, but not enrolled in, public health insurance.

A contributing factor to the high number of eligible but uninsured residents—in New York and other states around the country—are the public insurance system of eligibility, documentation, enrollment, and renewal policies, which directly impact a family’s ability to obtain public health insurance. Under this grant, the Children’s Defense Fund-New York (CDF-NY) proposed to increase health insurance enrollment and retention by working in partnership with community-based facilitated enrollers (FEs) through a Public Health Insurance Monitoring Project.

Outcomes and Lessons Learned

  • Compiled and analyzed monthly enrollment data available through the New York State Department of Health.
  • Partnered with facilitated enrollment lead agencies in New York City, Westchester, and Long Island to hold meetings with FEs where real case examples of barriers, patterns, and proposed workarounds were identified.
  • Reviewed local and State policies governing public health insurance programs and served as the technical support to FEs by helping them understand and implement the new policies.
  • Reached out to relevant stakeholder groups to address administrative barriers to enrollment and to advocate for streamlined recertification processes.
  • Met with FEs and argued the merits of linking their enrollers to the federally qualified health centers.
  • Published the issue brief, Review of New York State Public Health Insurance Policy Changes and Enrollment in 2008.

Read the report associated with this grant, “An Assessment of New York Health Foundation 2007 Health Insurance Coverage Grants.”