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59 Effective Date: July 1, 2009

Approval Date: on several strategies to assure high levels of community involvement: • The public had an opportunity to testify on the Governor’s proposed CHIP during both the 1998 and 1999 legislative sessions. The public also had an opportunity to comment on an alternative CHIP program that was being offered by House Republicans. Stakeholders and advocacy groups met throughout the 1999 session to comment on and ask legislators to pass the Governor’s proposal, which was enacted on a bipartisan basis during the 1999 session. • MPA also worked with the Seattle Campaign for Kids 2001 and a potential CHIP demonstration project prior to the 1999 session. Input in that project was reflected in the Governor’s proposal and MPA’s CHIP operational design. • During the development of the CHIP state plan, MPA involved representatives of various stakeholder groups including the state medical association, the state hospital association, provider groups, representatives of the Legislature, health care plans, client rights organizations and client advocacy groups. The public meetings held to review the plan submittal were jointly sponsored by MPA and the Children’s Alliance – a statewide children’s advocacy group. • MPA sponsored fourteen local community groups to provide feedback on the Healthy Options program. The Healthy Options Committees were asked to provide input, as well as feedback throughout implementation. • MPA consulted with the American Indian Health Commission of Washington State and the Northwest Portland Area Indian Health Board on the design of CHIP. CHIP had been an item of discussion for over a year with these groups. • MPA also provided an opportunity for all interested parties to review and com- ment on the original State Plan application through MPA’s CHIP website. • Public testimony during the 2007 session in which the state legislature passed SSSB 5093 “Cover All Kids” with bipartisan support, approving an increase in the CHIP program to 300%FPL.