Here's the crux of the policy:
Under the new policy, a state seeking to enroll a child whose family earns more than 250 percent of the poverty level -- or $51,625 for a family of four -- must first ensure that the child is uninsured for at least one year. The state must also demonstrate that at least 95 percent of children from families making less than 200 percent of the poverty level have been enrolled in the children's health insurance program or Medicaid -- a sign-up rate that no state has yet managed.
You've got to wonder if they asked for any input from the State before issuing these new guidelines. But then again, I wonder if the Bush Administration has ever ask for input from anybody outside of 1600 Pennsylvania.