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Cost-sharing experiences under SCHIP may be different, however, than those under past or other Medicaid expansions because:
All cost-sharing reduces participation to some extent; therefore, not instituting any cost-sharing is the only way to fully maximize enrollment. Enrollment, however, is not the only issue States will need to consider. Other issues to be considered are: encouraging personal responsibility, not encouraging families to drop private coverage, and reducing cost to government. Each State will need to strike a balance between such competing concerns in order to meet their specific needs and goals.
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