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School Health Initiatives Midwestern Regional Conference July 23 – 24, 2008, Indianapolis, Indiana Health Care + Education = Healthy Communities: Why Schools Fit the Equation
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Midwest 101 Children’s Healthcare Across the Region December 2004
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Illinois Indiana Iowa Kentucky* Michigan Minnesota Nebraska North Dakota Ohio South Dakota Wisconsin December 2004 Midwest Region
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Importance of Health Coverage December 2004 Uninsured Americans are four times more likely to require avoidable hospitalizations and emergency hospital care Uninsured women receive fewer prenatal services Uninsured newborns are more likely to have a low birthweight or to die
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Importance of Health Coverage December 2004 Uninsured children are 70% more likely not to receive care for common conditions like ear infections Uninsured children are 30% less likely to receive medical attention for injuries
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The Uninsured December 2004 8.7 million uninsured children under age 18 are in America (up 11.7% in 2006) Children in poverty are more likely to be uninsured then the population of all children in 2006 (19.3%) Midwest has the lowest uninsured rate at 11.4%
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Importance of Health Coverage December 2004 The movement began in 1970 2004-05 census identified more than 1709 school-connected centers nationally SHC’s adapt to meet the age appropriate needs of students with unique services to that school and community Through prevention, early detection and treatment of health problems, absenteeism is reduced School Health Programs
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December 2004 80% of programs serve at least one grade of adolescents 41% are designated as Title One schools 6% are in alternative schools 42% are in schools with more than 1000 students
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Illinois Political Environment Federal legislators supporting Kids/School Health; State legislation/supporters/ issues; Election issues
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Illinois Children’s Health Coverage: Medicaid: AllKids SCHIP Program: AllKids 200% FPL (no limit) Greatest success regarding children’s health coverage overall
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Illinois 53 School Health Center Programs serving 1/3 of all the high schools Illinois Coalition for School Health Center Greatest success: Youth Advocacy Council; 3M in the Governor’s budget to start 20 new centers 3% COLA in FY08 budget
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Indiana Political Environment Federal legislators supporting Kids/School Health; State legislation/supporters/ issues; Election issues
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Indiana Children’s Health Coverage Overview: Medicaid Program-Hoosier Healthwise SCHIP Program-Hoosier Healthwise 250% FPL Greatest success: Bipartisan authorization to 300%
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Indiana School Health Center Programs: 88 school based, mobile and linked No coalition or statewide chapter Greatest success regarding school health
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Iowa Political Environment Federal legislators supporting Kids/School Health; State legislation/supporters/ issues; Election issues
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Iowa Children’s Health Coverage Overview: Medicaid program: Medicaid SCHIP Program-Hawk-i 200% FPL Greatest success regarding children’s health coverage
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Iowa School Health Center Programs: 15 school based, mobile and linked centers No State Association Greatest success regarding school health
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Michigan Political Environment Federal legislators supporting Kids/School Health; State legislation/supporters/ issues; Election issues
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Michigan Children’s Health Coverage Overview: Medicaid Program-Healthy Kids SCHIP Program-MIChild 200% FPL Greatest success regarding children’s health coverage
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Michigan School Health Center Programs: 86 school based/linked centers serving over 100,000 students School-Community Health Alliance of Michigan Greatest success: Reimbursement for mental health services
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Michigan Greatest success (cont): Secured 2M in Governor recommended funding A new Unit within the MDCH on adolescents and school heath services Additional reimbursement for prevention services
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Minnisota Political Environment Federal legislators supporting Kids/School Health; State legislation/supporters/ issues; Election issues
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Minnesota Children’s Health Coverage Overview: Medicaid Program-Medical Assistance SCHIP Program-No separate program 275% FPL Greatest success regarding children’s health coverage
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Minnesota School Health Center Programs: 21 centers No State Association Greatest success regarding school health
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Nebraska Political Environment Federal legislators supporting Kids/School Health; State legislation/supporters/ issues; Election issues
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Nebraska Children’s Health Coverage Overview: Medicaid Program-Kids Connection SCHIP Program-No separate program 185% FPL Greatest success regarding children’s health coverage overall
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Nebraska School Health Center Programs: 0 centers No State Association Greatest success regarding school health
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North Dakota Political Environment Federal legislators supporting Kids/School Health; State legislation/supporters/ issues; Election issues
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North Dakota Children’s Health Coverage Overview: Medicaid Program-Medicaid SCHIP Program-Healthy Steps 150% FPL Greatest success regarding children’s health coverage
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North Dakota School Health Center Programs: 0 centers No State Association Greatest success regarding school health
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Ohio Political Environment Federal legislators supporting Kids/School Health; State legislation/supporters/ issues; Election issues
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Ohio Children’s Health Coverage Overview: Medicaid Program-HealthyStart SCHIP Program-No separate program 300% FPL Greatest success regarding children’s health coverage
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Ohio School Health Center Programs: 26 centers that vary based on student need. Some offering mobile units serving several schools Ohio School-Based Health Care Association Greatest success: Held legislative visits; Secured sponsor of S. 600
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South Dakota Political Environment Federal legislators supporting Kids/School Health; State legislation/supporters/ issues; Election issues
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South Dakota Children’s Health Coverage Overview: Medicaid Program-Medicaid SCHIP Program-CHIP 200% FPL Greatest success regarding children’s health coverage
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South Dakota School Health Center Programs: 4 centers No State Association Greatest success regarding school health
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Wisconsin Political Environment Federal legislators supporting Kids/School Health; State legislation/supporters/ issues; Election issues
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Wisconsin Children’s Health Coverage Overview: BadgerCare Plus SCHIP Program-No separate program 185% Greatest success regarding children’s health coverage
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Wisconsin School Health Center Programs: 16 centers No State Association Greatest success regarding school health
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