1. The Future of Medicaid and SCHIP Debbie I. Chang, MPH Senior Vice President and Executive Director Child Health Services Research Meeting AcademyHealth June 25, 2005

2. Medicaid Enrollees and Expenditures Total = 52 million people Total = $252 billion *Total expenditures on benefits excludes DSH payments. Source: Kaiser Foundation, The Medicaid Program at a Glance Fact Sheet, 2005 2

3. Medicaid Provides Access to Care for Vulnerable Populations Sources: Medicaid and the Uninsured, Medicaid Spending Growth Vernon Smith, et. al, Kaiser; and Health Spending and Future of Medicaid, remarks Alan Weil, sponsor Health Affairs. 3

4. Medicaid is a Key Payor of a Wide Range of Services Sources: Medicaid and the Uninsured, Medicaid Spending Growth Vernon Smith, et. al, Kaiser; Health Spending and Future of Medicaid, remarks Alan Weil, sponsor Health Affairs; and AARP beyond 50, 2003 from GAO. 4

5. Sources of Growth in Federal Medicaid Expenditures, 2001-2002 $15.7 Billion Increase 57% 43% 48% 52% 38% 62% Source: Kaiser Foundation, The Medicaid Program at a Glance Fact Sheet, 2003 $2.1 billion $2.3 billion $9.0 billion 5

6. Contact and Nemours Information Contact Information: Debbie I. Chang, M.P.H. Senior Vice President and Executive Director Nemours Health and Prevention Services 252 Chapman Road Christiana Bldg, Suite 200 Newark, DE 19702 302-444-9127 Nemours is an operating foundation focused on children providing primary and specialty health care throughout DE, northern Florida, and also parts of southeastern PA, and southern NJ. At these various operating sites, Nemours cares for more than 225,000 children annually through 870,000 patient visits. In 2003, Nemours redefined its business and programs to include a more holistic approach to the child: health promotion as well as health care. Nemours Division of Health and Prevention Services (NHPS) became operational in January 2004 and will focus on child health promotion and disease prevention using a comprehensive and systematic approach to develop model programs to address the root causes of community health problems.