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Yes We Can... Cover 4 Million Uninsured Children Jennifer Sullivan, MHS Senior Health Policy Analyst Families USA 202-628-3030 jsullivan@familiesusa.org Families USA – Health Action Conference January 29, 2009
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Key Questions How much longer until CHIP is reauthorized? Whats in the bill? What does it mean for my state?
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Background Hi, Im new here. What is CHIP?
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How much longer until CHIP is reauthorized? House bill already passed with 289 votes Senate bill passed in committee, floor vote scheduled this week Conference committee
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What does the House bill (H.R. 2) do? Reauthorizes CHIP through end of FY 2013 Covers 4.1 million uninsured children Pay-for: 61-cent increase in federal tobacco tax Cost: $32.3 billion over 4.5 years
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Who Does It Cover? Source: CBO Preliminary Estimate of Changes in SCHIP and Medicaid Enrollment in Fiscal Year 2013 of Children Under the Children's Health Insurance Program Reauthorization Act of 2009, January 2009. Total: 4.1 million uninsured children
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Financing $ (Billions)
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Financing Funnels funding to states that use it Allotments available two years Contingency fund 2009 allotments are an average 96% higher under the new formula than under current law
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Who is eligible? Children – different matching rate depending on income (above/below 300% of poverty) Pregnant women – no waiver needed Legal immigrant children and pregnant women – newly eligible, no 5-year waiting period Parents – new restrictions Childless adults – new restrictions
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Getting more children enrolled Performance Bonuses Medicaid enrollment benchmarks Qualifying activities –12 month continuous eligibility –Eliminate asset tests/allow administrative verification –Eliminate face-to-face interview requirements –Presumptive eligibility –Single Medicaid/CHIP application –Express lane eligibility –Passive/ex-parte renewal
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Getting more children enrolled Express Lane Eligibility $100 million in outreach grants
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Other improvements Benefits Dental coverage Mental health parity Clarifies EPSDT required in benchmark plans Quality Improved quality measurement Electronic medical records for children Child obesity demonstration
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Senate Bill (S. 275) Similar to House except: Performance Bonus Qualifying Activities – adds premium assistance Pay-fors – no specialty hospital provision Dental wrap – for children with private health coverage but no dental Immigrant documentation requirement MACPAC/Trustees report Actuarial Soundness study
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What does CHIP Reauthorization mean for states?
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Stable funding through 2013, but... Use it or lose it.
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Are states ready to move forward? States with projected budget deficits in FY2009 or FY2010 Alaska: no Hawaii: yes Source: Center on Budget & Policy Priorities, January 14, 2009
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What Should I Do When the CHIP bill is signed?
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Educate state policymakers about new financing rules Prevent proposed cuts Adopt simplified outreach, enrollment, and retention policies Adopt express lane eligibility Cover legal immigrant children and pregnant women
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Other issues to think about Does my state use CHIP funds to cover parents? Does my state use CHIP funds to cover other adults?
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More information Families USA www.familiesusa.org Stand Up for Health Care www.standupforhealthcare.org
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