The population health nurse is reviewing the State Children's Health Insurance Programs (SCHIP) with a mother who has seven children. During this conversation the nurse explains that this program was established by Congress to provide health insurance

coverage for low-income children whose parents did not have insurance coverage or who did not qualify for Medicaid benefits and is administered by the state. What process is the nurse reviewing that highlights the transfer of federal oversight and responsibility to the states for this program?
1. Devolution.
2. Shared responsibility.
3. Block grant funding.
4. Health care innovation.


Answer: 1
Explanation: 1. The establishment of SCHIP was an attempt by the federal government to provide for health services for low-income children. The federal government gave the states the option of expanding existing Medicaid programs or creating separate Children's Health Insurance Programs (CHIP). This is devolution, the transfer of responsibility for an area from federal to state government. It is not shared responsibility, block grant funding, or health care innovation.

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