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indicate that 44 percent of the families participating in the Part C program participate in a government-assisted health insurance or public benefits program such as

Medicaid or the Children's Health Insurance Program (CHIP).5

Although we do not have the benefit of more recent data, we assume that the percentage of Part C families enrolled in public benefits or insurance programs has remained fairly constant and that approximately 155,000 of the 353,028 infants and toddlers served under Part C in the fall of 2009 are in families that also participate in public benefits or insurance programs. For the reasons already described, we assume for this analysis that virtually all of the families participating in a public benefits or insurance program would be covered by the notification requirements and not the consent requirements that apply if

use of the parent’s insurance is expected to result in

certain specified costs.

We estimate that the cost of producing this notification for the estimated 155,000 infants and toddlers who participate in both the Part C program and a public benefits or insurance program would be at most $341,000 per year for all States, if each 4-page notice cost 20 cents to

5 Unpublished analysis of NEILS data by SRI, International, for the U.S.

Department of Education. Additional information on the NEILS, including access to a public use dataset, is available on the study website (http://www.sri.com/neils).