1. Illinois Maternal & Child Health Coalition Anticipated Effects of the Children’s Health Insurance Program (CHIP) in Illinois Kathy Chan, Policy Director Metropolitan Family Services Friday, March 6, 2009

2. Illinois Maternal & Child Health Coalition Illinois Maternal and Child Health Coalition Mission is to improve the health of women, infants, children and families Through policy development, education – provider and consumer, advocacy, and community empowerment Issues: health care for all, school health centers, immunizations, reducing maternal and infant mortality

3. Illinois Maternal & Child Health Coalition Covering Kids and Families Illinois RWJF grant 1999 through June 2006 Back-to-School, Faith, Health and Unity Toolkits Advocacy efforts – legislative and administrative

4. Illinois Maternal & Child Health Coalition State of children’s health coverage in IL All Kids since July 2006 Enrollment Simplifications

5. Illinois Maternal & Child Health Coalition Brief history of CHIP 1997 Balanced Budget Act Block grant State flexibility – Covered populations – Coverage package Previous attempts for reauthorization Temporary extension

6. Illinois Maternal & Child Health Coalition HR2: Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA) Similar to CHIPRA legislation from previous Congress Additional flexibility, tools and incentives September 2013

7. Illinois Maternal & Child Health Coalition Funding $69 billion over 4 ½ years $.62/pack increase in cigarette tax CHIP federal match, block grant remains the same “Use it or lose” it timeframe reduced Allocation formula Contingency fund

8. Illinois Maternal & Child Health Coalition Funding – Illinois specific Illinois - $344.9 million in FY09, increase of 73%

9. Illinois Maternal & Child Health Coalition Enrollment 7 million currently enrolled – Additional 4.1 million by 2013 Performance bonuses – Exceed Medicaid enrollment target – Implement 5 of 8 best practices 12-month continuous eligibility No asset test No face-to-face interview Joint Medicaid/CHIP application Automatic/administrative renewal Presumptive eligibility Express lane eligibility Premium assistance

10. Illinois Maternal & Child Health Coalition February 18, 2009 Enrollment – Illinois specific All Kids enrollment Current best practices Will we meet Medicaid enrollment targets?

11. Illinois Maternal & Child Health Coalition Eligibility Full CHIP match up to 300% Above 300% will be lower Medicaid match Cit/doc requirements will apply to CHIP Oct 09 Premium assistance ICHIA provisions included* Phase-out of adult coverage

12. Illinois Maternal & Child Health Coalition Eligibility – Illinois specific Match for All Kids enrollees 200-300% FPL Cit/doc - Presently, no negative action for children No anticipated effect on All Kids Premium (134-200% FPL) Illinois already covered LPRs with less than five years of residency, but state-only funds No effect on FamilyCare (Medicaid)

13. Illinois Maternal & Child Health Coalition Outreach $100 million for grants – $10 million national campaign – $10 million specific to Native Americans – $80 to state and local organizations through HHS

14. Illinois Maternal & Child Health Coalition Outreach – Illinois specific Covering Kids and Families coalition model National CKF Network Congressional delegation and HHS

15. Illinois Maternal & Child Health Coalition Other provisions At least 75% match for outreach and interpretation services Required dental benefit with baseline services Dental wrap-around coverage Mental health parity Recognition of school health centers New quality measures, health IT/EMRs, preventing childhood obesity, MEDPAC

16. Illinois Maternal & Child Health Coalition Conclusions First step toward comprehensive health care reform Reality of state budget deficits Great plan – what about implementation?

17. Illinois Maternal & Child Health Coalition February 18, 2009 Questions?

18. Illinois Maternal & Child Health Coalition February 18, 2009 Contact Information Illinois Maternal & Child Health Coalition Kathy Chan Policy Director 312-491-8161x24 kchan@ilmaternal.org www.ilmaternal.org