Authored by Lynne Fender and Jen Bernstein. This Urban Institute report was sponsored by the U.S. Department of Health and Human Services Office of the Assistant Secretary for Planning and Evaluation. This study describes policies and practices in Connecticut, Minnesota, and Texas designed to coordinate the child support enforcement program, Medicaid, and the State Children's Health Insurance Program (SCHIP) to secure and sustain appropriate health care coverage for child support-eligible children. Based on site visits to the 3 States, the report documents both successes in cross-program coordination as well as challenges to effective coordination.