Are We Nearing the Finish Line Yet?: The State of Play in Children’s Coverage Increasing Enrollment: It Still Takes Advocacy, Outreach, Simplification and Technology

There is No Silver Bullet Sustained outreach Simplified procedures Streamlined policies Supportive leadership Systems that work Sufficient funding and most of all….. Savvy advocacy

But Success is Sweet (and Achievable!)

Key Policy Facts 300% FPL Eligibility ALL Immigrant Children 12-mo Continuous Eligibility SSA Cit-Doc Match Online Application with E-Signature Administrative Verification of Income Online Renewals (not yet “my account”) Telephone Renewals Uninsured Children 57, % Source: 2010 Washington Population Survey 2.8%

Uninsured Children 48,521 – 5.6% Source: 2011 Oregon Household Survey Key Policy Facts 300% FPL Eligibility Lawfully Residing Immigrant Children Buy-In Program 12-mo Continuous Eligibility Express Lane Eligibility SSA Cit-Doc Match Online Application with Electronic Signature Telephone Renewals 6.3%

Key Policy Facts 250% FPL Eligibility 12-mo Continuous Eligibility – CHIP only (Medicaid in 2013) Presumptive Eligibility SSA Cit-Doc Match * Administrative Verification of Income * Online Application with E-Signature * Telephone Renewals Uninsured Children 124,128 – 10.1% Source: 2010 American Community Survey 11.4%

Key Policy Facts 300% FPL Eligibility Lawfully Residing Immigrant Children Express Lane Eligibility SSA Cit-Doc Match Administrative Verification of Income Online Application with E-Signature Uninsured Children 74,779 – 5.3% Source: 2009 Small Area Health Insurance Estimates (SAHIE) 2.4%

KEY POLICIES & DATA Eligibility – FPL Level250%300% Immigrant CoverageNYYY Buy-In ProgramNY NN 12-mo Continuous EligibilityCHIPYNY Presumptive EligibilityYNNN Express Lane EligibilityNY YN SSA Cit-Doc Match*Y*YYY Online App with E-Sign*Y*YYY Administrative Verification*Y*NYY Online RenewalNNNY Telephone RenewalYYNY Uninsured Rate–ACS %8.8%4.8%6.4% Participation Rate81.0%82.5%89.4%85.9% Performance Bonus (millions) $0 / $13.7$1.6 / $15.1$0 / $10.5$7.9 / $17.6 Community App AssistanceYY*Y Outreach FundingYYNN