1. 1

2. Children’s Health Insurance Program
MO Healthnet for Kids
An important component in how Missouri covers kids. 2

3. CHIP and Medicaid
Total enrollment in the United State of children on Medicaid or CHIP just over 74 million up from 56 million from before the Affordable Care Act
In Missouri, we cover 961,00 people up from 846,000 before the ACA.
Approximately 621K are children and about 80K through CHIP
Show Me Healthy Babies covers about 20K unborn children on CHIP
Sits on top of Medicaid for families from 150 to 300 FPL with families in higher incomes paying a premium
Feds pay 94% of the costs of CHIP in MO 3

4. SCHIP to CHIP Was created in 1997
Sponsored by Senator Ted Kennedy and Senator Orin Hatch
It is a block grant program not an entitlement
Reauthorized in 2009 under President Obama and changed the name to CHIP
The program expired in September of 2017
Funds will run out for states this year.
MO has enough money to continue until June of this year 4

5. Caps/Block Grants
Work Requirements 5 5

6. Under that scenario, no eligibility group would be protected from cuts.
This chart shows the distribution of Medicaid enrollees in Missouri in FY 2016 and the estimated portion of total spending that the different eligibility groups make up. As shown, though they comprise just one-fourth of the total enrollees, about 65 percent of Missouri’s Medicaid funding is used to provide services for seniors and Missourians with disabilities. Under a block grant or per capita cap it is very likely that these groups would have to bear at least some of the required cuts. Also, because child eligibility is fairly generous in Missouri, and kids make up a large portion of Medicaid patients, it also likely that kids could face severe cuts. In fact, we are hearing rumblings that state lawmakers are already discussing limiting child eligibility to 200% FPL 6 6

7. Benefits of Coverage for Children7

8. Benefits of CHIP vs Private Insurance
Lower out of pocket costs
Many employers don’t offer family coverage
Early Preventative Screening Diagnosis and Treatment or EPSDT 8

9. Still waiting... Congress needs to act
Changing cost estimates from CBO
Previous estimate of $8.2 billion for 5 years have adjusted to $800 million
Newest CBO estimate for 10 years show savings of $6 billion
We are hoping for action as soon as this week
Call your Congress member to urge passage! 9

10. Get Involved Connect with us Brian Colby bcolby@mobudget.org
Visit website for more detail
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@MISSOURIBUDGET 10 10