Home

Topic Areas

The SHAP grants are designed to expand health insurance coverage to new populations. Grantee states vary in their approach and target populations, but the overall goal is to provide coverage to individuals who are currently uninsured. All 13 SHAP states are expanding coverage to new populations.

  • Six grantee states are expanding coverage for children
  • Five grantee states are expanding coverage for parents
  • Eight grantee states are expanding coverage for non-custodial adults
  • One grantee state is expanding coverage to "Ribicoff children," 19-20 year olds who meet income and asset limit tests
  • Eight grantee states are expanding coverage to workers

NASHP analyzed proposals and expressly designed technical assistance to SHAP states using the topic areas.

Working with Employers

Reaching out to uninsured individuals, small business, community organizations and associations is at the core of the SHAP programs in all thirteen states.  States face various policy and practice issues related to coordinating coverage programs with employers.  Learn more about how SHAP states are Working with Employers.

Benefit Design

As part of their projects, SHAP grantee states are designing insurance product for low and moderate-income working adults. Learn more about how states are using Benefit Design to expand coverage.

Enrollment and Retention

Through their SHAP grants, some grantee states focus on improving their enrollment and retention systems. SHAP states vary in their goals and methods for improving enrollment and retention. Learn more about how SHAP states are working on Enrollment and Retention.

Delivery System Improvement 

SHAP states are implementing innovations to improve health care delivery systems and complement their expansion efforts. Learn more about the various strategies SHAP states are using to promote Delivery System Improvement.

Health Care Reform and SHAP

The SHAP states are now working to integrate their coverage expansion programs into the larger context of national health reform. They are working to identify opportunities to continue and expand their programs within the legislation, building in quality improvement initiatives and designing and implementing payment and delivery system reforms. Learn more about NASHP's work on Health Care Reform.