California and Ohio last week became the fifth and sixth states to win approval from HCFA for their plans to expand health insurance coverage for low-income children.
The coverage expansion is mandated by last year's balanced-budget act, which authorized spending $24 billion over five years for that purpose.
California's program is the largest to date and the second to combine Medicaid funds with a state program. Through the state Medicaid program and two other state projects, the state will have access to as much as $855 million to expand coverage to 100,000 uninsured children this year and 500,000 within three years.
Florida also won HCFA approval for a combined Medicaid-state program.
To date, Colorado has the sole HCFA-approved plan that uses only state subsidies for expanded children's coverage.
Ohio will have access to as much as $116 million in 1998 to expand Medicaid coverage to 133,000 children whose families have incomes of less than 150% of the federal poverty level.
Alabama and South Carolina also have elected to expand coverage exclusively through Medicaid.