In New York's Child Health Plus Program, [http://www.health.state.ny.us/nysdoh/child/chcont.htm] policymakers determined the following premium contribution schedule as shown below:

Percent of Poverty: 0%-120%
Primary Care Benefit Package Only: 0
1996 Expansion: 0
Title XXI Approved Plan: 0
Governor's Legislative Proposal: 0


Percent of Poverty: 120%-150%
Primary Care Benefit Package Only: 0
1996 Expansion: $9/month/child
Title XXI Approved Plan: 0
Governor's Legislative Proposal: 0


Percent of Poverty: 150%-160%
Primary Care Benefit Package Only: 0
1996 Expansion: $9/month/child
Title XXI Approved Plan: $9/month/child
Governor's Legislative Proposal: 0


Percent of Poverty: 160%-222%
Primary Care Benefit Package Only: $25/year/child
1996 Expansion: $13/month/child
Title XXI Approved Plan: $13/month/child
Governor's Legislative Proposal: $9/month/child


Percent of Poverty: +222%
Primary Care Benefit Package Only: Full premium
1996 Expansion: Full premium
Title XXI Approved Plan: Full premium
Governor's Legislative Proposal: Full premium

The premium schedule in New York's Child Health Plus Program was summarized as follows:

• No cost-sharing for families with income up to 150 percent of the Federal poverty level (FPL).

• Families between 150 percent and 160 percent of FPL are charged $9 per month per child (pmpc).

• Premiums are capped at $136 for families up to 160 percent of FPL.

• Families between 160 percent and 222 percent of FPL pay $13/pmpc.

• Families above 222 percent of FPL pay the full premium ($84/pmpc with a maximum charge of four children).

Related Questions

Show me more State strategies

• SCHIP Guidance - State Strategies

Show me some lessons learned

What led to this?

• New York State's Child Health Plus Program

What other issues are talked about in this section?

• The Florida Healthy Kids Corporation's Experience

  • Results of the Florida Healthy Kids Corporation's Experience

Who presented this material?

[Top of Page]