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Jocelyn Guyer Co-Executive Director Center for Children and Families Georgetown University, Health Policy Institute April 4, 2011 Caucus Room, Cannon House.

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Presentation on theme: "Jocelyn Guyer Co-Executive Director Center for Children and Families Georgetown University, Health Policy Institute April 4, 2011 Caucus Room, Cannon House."— Presentation transcript:

1 Jocelyn Guyer Co-Executive Director Center for Children and Families Georgetown University, Health Policy Institute April 4, 2011 Caucus Room, Cannon House Office Building The State of Children's Health, Care and Coverage

2 The National Landscape o Remarkable progress in covering children o Despite budget challenges, nearly all states holding steady in Medicaid and CHIP coverage; a number of states continuing to move forward o New opportunities and challenges Health reform implementation State budget situation National dialogue over Medicaid Continuing to move beyond coverage to ensure children secure high-quality, effective care

3 Unprecedented Progress in Covering Children Source: U.S. Census Bureau, Current Population Survey, Annual Social and Economic Supplements. Lowest uninsured rate since census started collecting data in 1987

4 How All Children are Covered, 2009 Source: Urban Institute and Kaiser Commission on Medicaid and the Uninsured Total number of children= 79.3 million

5 How Low-Income Children are Covered, 2009 Data may not total 100% due to rounding. Low-income defined as below 200% of the federal poverty level. SOURCE: KCMU/Urban Institute analysis of 2010 ASEC Supplement to the CPS. Total number of low-income children= 37.3 million

6 AZ AR MS LA WA MN ND WY ID UT CO OR NV CA MT IA WI MI NE SD ME MOKS OH IN NY IL KY TN NC NH MA VT PA VA WV CT NJ DE MD RI HI DC AK SC NM OK GA TX IL FL AL < 200% FPL (4 states) 250% or higher FPL (25 states, including DC) 200-249% FPL (22 states) Note: The federal poverty level (FPL) for a family of three in 2010 is $18,310 per year. IL uses state funds to cover children up to 300% of the FPL; OK has a premium assistance program for select children up to 200% of the FPL. AZs CHIP program is currently closed to new enrollment. Source: Based on the results of a national survey conducted by the Kaiser Commission on Medicaid and the Uninsured and the Georgetown University Center for Children and Families, 2011. Childrens Eligibility for Medicaid/CHIP by Income, January 2011

7 Top Health Conditions Affecting Children Source: Centers for Disease Control and Prevention, "Health, United States, 2010: With Special Feature on Death and Dying" (February 2011). Note: Data on the prevalence of asthma, ADHD, and respiratory allergies reflect 2007- 2009; data on dental carries and obesity reflect 2005-2008.

8 Key Policy Issues for Children o Implementation of early ACA provisions Ban on denying coverage to children with pre-existing conditions Stability protections Increase in Medicaid primary care reimbursement rate o Future of Medicaid o Long-term future of ACA Transitions between Medicaid and Exchange Delivery system reforms that address childrens unique needs Role of CHIP Coverage of parents

9 Looking Ahead o The progress in covering kids is one of the countrys best-kept secrets o A model for health reform implementation – bipartisan leadership, smart and creative policy ideas, broad-based public engagement translated into policy gains o Key opportunity and challenge ahead is sustaining and building on this success for children o Success will mean better health, reduced disparities, stronger economies, and stronger families

10 Georgetown Center for Children and Families o Jocelyn Guyer jag99@georgetown.edu 202-784-4077 o Our Website: http://ccf.georgetown.edu/http://ccf.georgetown.edu/ o Say Ahhh! Our child health policy blog:http://www.theccfblog.org/http://www.theccfblog.org/


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