1. Historic Rate of Insurance for Children

2. Public Coverage for Children

3. The Importance of Medicaid and CHIP
Percentage of US children who rely on public coverage

4. The Benefits of Medicaid
Medicaid helps children grow up to reach their full potential. Children enrolled in Medicaid:
Medicaid has also contributed to declines in infants and child mortality

5. The Cost of Children in Medicaid

6. Concerns with New Funding Proposals
Block grants or per capita caps will:
Shifts costs to states
Not automatically increase federal funding during economic downturns or public health crises
Mean that states won’t be able to make up shortfalls
Could result in:
Decreased eligibility levels
Work requirements
Loss of EPSDT
Winners and losers amongst current Medicaid populations
Wait lists
Increased cost-sharing for families

7. Why CHIP is Not a Model for Medicaid
70 million (Medicaid) vs. 8 million (CHIP)
States get more matching funds for CHIP than Medicaid
CHIP is not an entitlement and not permanent
The goal of a Medicaid block grant is to reduce spending—not to improve or expand coverage
Some states have CHIP paid for 100% by the federal government

8. How AAP Evaluates Coverage Proposals
AAP Endorsed Principles on Access
Every child should receive care in a medical home with a primary care pediatrician and access to pediatric subspecialists.
Quality health care is a right, regardless of income, for all children, their families, pregnant women, and ultimately all individuals.
Every child must have quality health insurance.
Plans should have a comprehensive age appropriate benefits.
Payment rates should assure that children receive all needed services.
So… Two Key Questions for Every Proposal
Does every child maintain access to coverage (entitlement)?
Does every child maintain access to medically necessary care (EPSDT)?