children's health insurance coverage. Some of these programs are likely to be expanded by states under the terms of the new legislation on children's health insurance.

Chapter 7, Children's Health Care Needs, addresses the need for health care among healthy children and among those with chronic medical conditions and special health care needs. Based on the distribution of acute and chronic medical conditions among children, the chapter discusses the importance of designing children's insurance to better address children's needs.

Two Appendixes provide a supplement to the committee's analysis of the evidence presented throughout the report. Appendix A, ''A Review of Tax-Based Approaches to Insurance Reform," was written by Robert B. Helms at the request of the other committee members. It describes some of the main federal tax policy options which have been proposed but have not yet been widely implemented, including tax credits and vouchers. Appendix B, "Information for Accountability," describes the technical aspects of the existing data and information systems that are used to monitor insurance, access, utilization, and health status over time.

Appendix C includes the agenda and list of participants who attended the committee's public workshop in Washington, D.C. on June 2, 1997. Appendix D lists the members of the liaison panel, including those who submitted written statements for the committee's consideration, and Appendix E includes short biographies for the committee and IOM staff.

References

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Lipson DJ, Naierman N. 1996. Effects of Health System Changes on Safety Net Providers. Health Affairs 15(2):33-48. NRC (National Research Council). 1992. Including Children and Pregnant Women in Health Care Reform. Washington, D.C.: National Academy Press.


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NRC. 1997. Assessment of Performance Measures for Public Health, Substance Abuse, and Mental Health. Washington, D.C.: National Academy Press.


Rosenbaum S, Shin P, Smith BM, Wehr E, Borzi, PC, Zakheim MH, Shaw, K, Silver K, Johnson KA. 1997. Negotiating the New Health System: A Nationwide Study of Medicaid Managed Care Contracts. Washington, D.C.: George Washington University Center for Health Policy Research.


Weigers ME, Weinick RM, Cohen JW. 1998. Children's Health 1996. MEPS Chartbook No. 1. Rockville, MD: Agency for Health Care Policy and Research, AHCPR Pub. No. 98-0008.



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