Cover All Kids Health Insurance for All Children Pennsylvanias Success Story – How Can It Help Your State?

Slides:



Advertisements
Similar presentations
Prepared by North Carolina Institute of Medicine
Advertisements

The Brave New World of Health Benefit Exchanges (Resistance is Futile: Ready or Not, Here Comes Covered California)
Insure Montana Small Business Health Insurance Program The Small Business Health Care Affordability Act, was requested by State Auditor John Morrison and.
Five Good Reasons For States to Expand Family Coverage.
Federal Financial Support for State Health Reform Implementation Edwin Park Center on Budget and Policy Priorities From Vision to Reality: State Strategies.
Yes We Can... Cover 4 Million Uninsured Children Jennifer Sullivan, MHS Senior Health Policy Analyst Families USA
Covering All Kids in Wisconsin. More than 9 in 10 children in Wisconsin have health insurance.
K A I S E R C O M M I S S I O N O N Medicaid and the Uninsured Figure 0 Medicaid: The Essentials Diane Rowland, Sc.D. Executive Vice President, Henry J.
© 2010 Towers Watson. All rights reserved. Adult Dependent Coverage Under the Affordable Care Act of 2010: An Employer Perspective Alliance for Health.
Crowd-Out Under SCHIP: Looking Back and Moving Forward Lisa Dubay, Ph.D., Sc.M. Associate Professor Johns Hopkins Bloomberg School of Public Health © 2006,
CHIP Children's Health Insurance Program
Illinois All Kids Program Illinois Department of Healthcare and Family Services Stephen E. Saunders, MD, MPH Child Health Services Research Meeting June.
National Health Policy Conference February 12, 2007 Washington, D.C. Kim Belshe.
Exhibit 1. There Were 14.8 Million Uninsured Young Adults in 2009, Up by 4 Million in the Past Decade Uninsured young adults ages 19–29 (in millions) Source:
SECURITY MATTERS: HOW INSTABILITY IN HEALTH INSURANCE PUTS U.S. WORKERS AT RISK FINDINGS FROM THE COMMONWEALTH FUND 2001 HEALTH INSURANCE SURVEY CHARTS.
Figure ES-1. Major Features of Health Insurance Expansion Bills and Impact on Uninsured, National Expenditures President Bushs Tax Reform Plan Healthy.
HOW HEALTH CARE REFORM AFFECTS YOU SHELDON F. KURTZ PERCY BORDWELL PROFESSOR OF LAW UNIVERSITY OF IOWA LAW SCHOOL.
THE COMMONWEALTH FUND Rite of Passage: Young Adults and the Affordable Care Act of 2010 Sara R. Collins, Ph.D. Vice President, Affordable Health Insurance.
THE AFFORDABLE CARE ACT September 17 th, 2013 Heather Howard Director, State Health Reform Assistance Network Lucinda Jesson Commissioner, Minnesota Department.
WHAT DOES HEALTH REFORM MEAN FOR CABRINI CLINIC & FOR OUR PATIENTS? The Patient Protection & Affordable Care Act (ACA)
WHAT DOES HEALTH REFORM MEAN FOR OUR FREE CLINIC & FOR OUR PATIENTS? The Patient Protection & Affordable Care Act (ACA)
A Majority of Adults Who Are Potentially Eligible for the Law’s New Insurance Options Are Aware of the Marketplaces and the Availability of Financial Assistance.
THE COMMONWEALTH FUND Figure 1. Three of Five Health Care Opinion Leaders Feel that Mixed Private-Public Group Insurance Is an Effective Approach to Achieving.
Aca & medicaid expansion in sc. tonight’s talk  Background  Hospital impact  Human impact  Economic impact  Final thoughts.
May 8, 2008 Waiving Commonwealth Care Prohibition on Enrolling Adults with Access to ESI.
Milliman USA Texas State Planning Grant Conference January 31 – February 1, 2002 Options for Expanding Health Insurance in Texas – CHIP Full Cost Buy-In.
The Basic Health Program: Solving the Affordable Care Act’s Affordability Problem? Presentation to Women’s Health Policy Forum Wednesday, May 2, 2012 Kelsey.
Commonwealth of Massachusetts Executive Office of Health and Human Services Universal Coverage in Massachusetts: Resource Allocation and the Care of Disadvantaged.
Massachusetts HC Reform November 29, The Context The problem of the “uninsured” and “underinsured” is perennial issue Clinton Health Security Act.
Medicaid expansion in sc. today’s talk  Background  Politics of expansion  Impact on People  Impact on Business  Impact on the Economy  Final Thoughts.
Medicaid Reform and Expansion. Background : The Patient Protection and Affordable Care Act (PPACA) was signed into law in March In June 2012, U.S.
The Case for Medicaid Expansion. Who We Are We’re a coalition of concerned Kentuckians, over 250 organizations and individuals, who believe that the best.
1 Medicaid Expansion Estimates Demographics and Cost April 24, 2013.
The Health Law: It’s Working! About 10 million more people have insurance this year as a result of the Affordable Care Act The biggest winners from the.
Your Health, Your Choice: Guide to the Marketplace Nykita Howell Health Insurance Navigator.
The Tattered Safety Net James G. Anderson, Ph.D. Purdue University.
The Tattered Safety Net James G. Anderson, Ph.D. Purdue University.
The Health Care Law: Where Does Your Small Business Fit? Month Day, 2013.
The Affordable Care Act and the Kentucky Health Benefit Exchange.
Healthy Kids in the CAP or Welfare Office Covering The Basics.
Health Insurance Coverage of the Nonelderly, 2010 * Medicaid also includes other public programs: CHIP, other state programs, Medicare and military-related.
Health Insurance for Utah Children and Small Businesses November 15, 2006 Expanding Health Insurance Coverage for Utah’s Uninsured Citizens.
The Affordable Care Act. What is it? Affordable Care Act was designed to: – Increase the quality and affordability of health insurance – Decrease the.
1 The Affordable Care Act and Texas Implementation Texas Statewide Independent Living Conference April 5, 2011 Stacey Pogue, Senior Policy Analyst,
Center on Budget and Policy Priorities cbpp.org ACA Health Coverage Enrollment Overview Center on Budget and Policy Priorities September 24, 2013.
Health Care Reform: The Top 10 Things You Need to Know.
Medicare, Medicaid, and Health Care Reform Todd Gilmer, PhD Professor of Health Policy and Economics Department of Family and Preventive Medicine 1.
Social Services A group of services, including health care, funded by citizens of a community [city, region or nation] for its members who are not able.
Straight Talk on Obamacare (The Affordable Care Act)
Pennsylvania’s CHIP Expansion to Cover All Uninsured Kids.
Delaware Health Care Commission February 17, 2005 Alice Burton, Director AcademyHealth.
Exhibit Million Uninsured Young Adults in 2009, Up by 1.1 Million in Past Year Millions uninsured, adults ages 19–29 Source: Analysis of the 2001–2010.
1. 2 Governor Doyle’s Health Care Vision  Every Wisconsin resident has a right to health care.  State government must do what it can to ensure that.
Exhibit 1. Almost Half of Young Adults Ages 19–29 Experienced Gaps in Health Insurance Coverage During the Past Year, 2009 Young adults ages 19–29 = 45.8.
Dennis & Patten Participation in Government Mepham High School Health Care Reform in America.
Modeling Health Reform in Massachusetts John Holahan June 4, 2008 THE URBAN INSTITUTE.
Impact of the Affordable Care Act on the Latino Community National Hispanic Medical Association Meeting Steven Weinberger, MD, FACP Executive Vice President.
The Patient Protection and Affordable Care Act. The Affordable Care Act Signed into law on March 23, 2010 Implemented incrementally You can keep your.
What You Need to Know to Navigate the New Health Care Law.
Policies to Aid the Uninsured Michael S. Lawlor Wake Forest University, Dept. of Economics Forum on Pres. Candidates’ Health Plans Slides available on.
What Can States Do About the Uninsured? Kenneth E. Thorpe, Ph.D. Robert W. Woodruff Professor and Chair Department of Health Policy and Management Rollins.
Health Reform: An Overview Unit 4 Seminar. The Decision The opinions spanned 193 pages, upholding the individual insurance mandate while reflecting a.
Rite of Passage: Young Adults and the Affordable Care Act of 2010
Affordable Care Act (ACA)
Exhibit 1 Fourteen Percent of Adults Were Uninsured in March–June 2017, with Increase Among 35-to-49-Year-Olds Data: The Commonwealth Fund Affordable.
California Health Reform Proposal
HEALTH CARE POLICY.
Massachusetts Health Care Reform Mandates
Health Care Policy Public Policy.
Health Care Reform: What It Means for You Jewish Family Service Austin Alamo Breast Cancer Foundation December 16, 2010 Stacey Pogue, Senior Policy.
Presentation transcript:

Cover All Kids Health Insurance for All Children Pennsylvanias Success Story – How Can It Help Your State?

Background Strong Medicaid and CHIP programs Dept. of Insurance Study – 92% of Pennsylvanians (more than nine in ten), have some type of health care coverage. – 96% children in the State have health insurance. – 133,000 children (about 4 percent of all children) are uninsured. New Governor with commitment to health care

Pennsylvanias Cover All Kids Expands CHIP coverage to families above 200% of FPIG 200 – 250% of poverty (up to $50,000 a year for a family of four) will pay about 25% of the premium = $38 per month, per child. 250 – 275% of poverty (up to $55,000 a year for a family of four) will pay about 35% of the premium = $53 per month, per child. 275 – 300% of poverty (up to $60,000 a year for a family of four) will pay 40% of the premium = about $60 per month, per child.

Families above 300% of poverty May purchase coverage for their children at the states cost for coverage = $150 per month, per child IF THEY ARE UNABLE TO AFFORD HEALTH INSURANCE BECAUSE: The cost would exceed 10% of the family income or because the total cost for the child is 150% of the states cost for coverage. OR They have been refused health insurance because a child or a member of the childs family has a pre-existing condition so coverage is not available for the child.

Cost of Cover All Kids Uses PAs $179 million CHIP reserve plus Medicaid.55 cent match – in when the reserve runs out will just have MA match for new CAK eligible children. By 2010 expect to cover half of current eligibles and all 23,000 new kids

Opposition Arguments Dumping Why increase population when there are still eligible but uninsured children? The State shouldnt pay for rich people to have health insurance Non-citizens

Dumping Cover All Kids has a six-month go-bare period for children in families with incomes above 200% of the federal poverty line. Unless: The child is two years of age or less; The child has lost coverage because a family member lost their job; The child is moving from another public insurance program. What employer would want the bad PR of having folks know they dumped kids and made them wait 6 months for the State to pick up the tab? Certainly newspapers throughout the Commonwealth would write a story about this if it happened.

Why increase eligibility when there are still eligible but uninsured children? 6% of children eligible for Medical Assistance are not enrolled. 21% of children eligible for free CHIP are not enrolled But 67% of children eligible for reduced-cost CHIP currently are not enrolled. A 2001 study showed 50% of parents of eligible but uninsured children did not know they were eligible for CHIP or MA. COVER ALL KIDS – ONE MESSAGE FOR ALL FAMILIES, YOURE CHILD CAN GET HEALTH INSURANCE!

State shouldnt pay for rich people to have health insurance We pay for uninsured children! – Uncompensated care in PA was estimated at $1.4 billion in The state will not pay for families over 300% of poverty. They will just offer them the states negotiated price.

Undocumented Non-citizens PA did not attempt to cover non-citizens – Knew it was not winnable Continues to be an issue

Potential pitfalls of covering all kids Individual mandates - If you dont sign up for a plan, you could become ineligible to get a job and enroll your child in school, or face tax penalties. Health savings accounts No controls on premiums

Important messages Bipartisan support for SCHIP Covering all kids will increase current eligibles enrollment Keep all simplifications that have been instituted already Premiums cannot be too high or families will not join – Make it as easy as possible to pay premiums There is near universal agreement that covering children is important – Voting issue