1) Increase education and outreach to enroll as many eligible children as possible into Medicaid and hawk-i. This could cover four out of every five uninsured children in Iowa.

2) Identify options for covering families and not just children in Medicaid and hawk-i.

3) Improve access to dental care for Medicaid enrollees by either increasing provider reimbursement or establishing a dental specific Medicaid. In Michigan, the Medicaid dental program is operated by a private insurance carrier that is familiar to dentists in the state; a model such as this might prove beneficial to Medicaid enrollees in Iowa.