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Encyclopedia > State Children's Health Insurance Program

The State Children’s Health Insurance Program (SCHIP) is a national program in the United States designed for families who earn too much money to qualify for Medicaid, yet cannot afford to buy private insurance. The program was created to address the growing number of children in the United States without health insurance. At its creation in 1997, SCHIP was the largest expansion of health insurance coverage for children in the United States since Medicaid began in the 1960s. The statutory authority for SCHIP is under Title XXI of the Social Security Act. Proposals are currently in Congress to expand SCHIP by $35 billion over five years.[1] Image File history File links No higher resolution available. ... Medicaid is the US health insurance program for individuals and families with low incomes and resources. ... It has been suggested that Health plan be merged into this article or section. ... Type Bicameral Houses Senate House of Representatives President of the Senate President pro tempore Dick Cheney, (R) since January 20, 2001 Robert C. Byrd, (D) since January 4, 2007 Speaker of the House Nancy Pelosi, (D) since January 4, 2007 Members 535 plus 4 Delegates and 1 Resident Commissioner Political...


SCHIP covered 6.9 million children at some point during Federal fiscal year 2006, and every state has an approved plan.[2] States are given flexibility, and an enhanced match is paid to states. Some states have received Section 1115 demonstration authority to use SCHIP funds to cover the parents of children receiving benefits from both SCHIP and Medicaid, pregnant women, and other adults. However, the program is already facing funding shortfalls in several states.[3] A pregnant woman Pregnancy is the process by which a mammalian female carries a live offspring from conception until it develops to the point where the offspring is capable of living outside the womb. ...


In 2007, researchers from Brigham Young University and Arizona State found that children who drop out of SCHIP cost states more money because they shift away from routine care to more frequent emergency care situations. The conclusion of the study is that an attempt to cut the costs of a state program could create a false savings because other government organizations pick up the tab for the children who leave SCHIP and later need care. In a 2007 analysis by the Congessional Budget Office, researchers determined that "for every 100 children who gain coverage as a result of SCHIP, there is a corresponding reduction in private coverage of between 25 and 50 children." The CBO speculates this is because the state programs offer better benefits and lower cost than the private alternatives.[4] The program cost $40 billion federal dollars over 10 years. , Brigham Young University Brigham Young University (BYU), located in Provo, Utah, is the flagship university of The Church of Jesus Christ of Latter-day Saints (LDS or Mormon Church). ... Arizona State University (ASU) is a public research institution of higher education and research with campuses located in the Phoenix Metropolitan Area. ... The emergency room is the American English term for a room, or group of rooms, within a hospital that is designed for the treatment of urgent and medical emergencies. ...

Contents

Federal dollars with state administration

Like Medicaid, SCHIP is a partnership between federal and state governments. The programs are run by the individual states according to requirements set by the federal Centers for Medicare and Medicaid Services. States may design their SCHIP programs as an independent program separate from Medicaid (separate child health programs), use SCHIP funds to expand their Medicaid program (SCHIP Medicaid expansion programs), or combine these approaches (SCHIP combination programs). States receive enhanced federal funds for their SCHIP programs at a rate above the regular Medicaid match. It has been suggested that Health Care Financing Administration be merged into this article or section. ...


States with separate child health programs follow the regulations described in Section 42 of the Code of Federal Regulations, Section 457. Separate child health programs have much more flexibility than Medicaid programs. Separate programs can impose cost sharing, tailor their benefit packages, and have a great deal of flexibility in eligibility and enrollment matters. The limits to this flexibility are described in the regulations, and states must describe their program characteristics in their SCHIP state plans.


In Ohio, SCHIP funds are used to expand eligibility for the state's Medicaid program. As a SCHIP Medicaid expansion program, all Medicaid rules and regulations (including cost sharing and benefits) apply. Children from birth through age 18 who live in families with incomes above the Medicaid thresholds in 1997 and up to 200% of the federal poverty level are eligible for the SCHIP Medicaid expansion program. In 2004, the maximum annual income needed for a family of four to fall within 100% of the federal poverty guidelines was $18,850, while 200% of the poverty guidelines was $37,700. Official language(s) English de facto Capital Columbus Largest city Columbus Largest metro area Cleveland Area  Ranked 34th  - Total 44,825 sq mi (116,096 km²)  - Width 220 miles (355 km)  - Length 220 miles (355 km)  - % water 8. ... The poverty line is the level of income below which one cannot afford to purchase all the resources one requires to live. ... Year 2004 (MMIV) was a leap year starting on Thursday of the Gregorian calendar. ...


Other states have similar SCHIP guidelines with some states being more generous or restrictive in the number of children they allow into the program. SCHIP Medicaid expansion programs typically use the same names for the expansion and Medicaid programs, and separate child health programs typically have different names for their programs. A few states also call the SCHIP program by the term "Children's Health Insurance Program" (CHIP).


President Bush has promised to veto the current proposal in Congress expanding the program by $35 billion. This new proposal, which expands the program to over 4 million more participants by 2012, also phases out most state expansions in the program that include any adults other than pregnant women. It also increases the eligibility from couples earning up to 200% of the federal poverty level to couples earning 300% of the federal poverty level, approximately $62,000 for a family of four.[5] The expansion of the SCHIP program would be funded by an over one hundred percent increases in cigarette taxes, which has been shown to lower teen smoking. [6]


A study by the Urban Institute concludes that the House SCHIP bill would provide coverage to approximately 5 million of children who would otherwise remain uninsured. 85% of them live in households below 200% of the federal poverty level (FPL). In addition, the House bill would allow additional 2.4 to 2.5 million children, with 60% below 200% of FPL, to switch from private to public insurance. These figures include 1.2 million children, predominantly between 200% and 300% of FPL, who would gain public coverage due to controversial eligibility expansions. Similar numbers are expected from the Senate bill.[7] Based in Washington, D.C., the nonpartisan Urban Institute collects data, conducts policy research, evaluates social programs, educates the public on key domestic issues, and provides advice and technical assistance to developing governments abroad. ...


See also

TexCare is a program developed by the State of Texas to raise awareness of the children’s health insurance options available, and to help Texas families obtain and utilize affordable coverage for their uninsured children (ages 0-19). ...

References

  1. ^ Senate Passes Children's Health Bill (webpage). The New York Times. Retrieved on 2007-08-03.
  2. ^ 2006 CMS Statistics (PDF). U.S. Department of Health & Human Services. Retrieved on 2007-07-03.
  3. ^ President's FY 2008 Budget and the State Children's Health Insurance Program (SCHIP) (PDF). Henry J. Kaiser Family Foundation. Retrieved on 2007-07-03.
  4. ^ [1]
  5. ^ More SCHIP: Revived but already dead (webpage). The Atlanta Journal-Constitution. Retrieved on 2007-09-23.
  6. ^ Lambrew, Jeanne (2007-09-25). Fact Check on Children's Health Care. Center for American Progress.
  7. ^ Urban Institute
  • SCHIP Summary - Centers for Medicare and Medicaid Services
  • Ohio Medicaid Basics - Health Policy Institute of Ohio
  • BYU News - BYU researcher helps show the cost of kids losing health insurance: more than $2,000 each

Year 2007 (MMVII) is the current year, a common year starting on Monday of the Gregorian calendar and the AD/CE era. ... is the 215th day of the year (216th in leap years) in the Gregorian calendar. ... Year 2007 (MMVII) is the current year, a common year starting on Monday of the Gregorian calendar and the AD/CE era. ... is the 184th day of the year (185th in leap years) in the Gregorian calendar. ... Year 2007 (MMVII) is the current year, a common year starting on Monday of the Gregorian calendar and the AD/CE era. ... is the 184th day of the year (185th in leap years) in the Gregorian calendar. ... Year 2007 (MMVII) is the current year, a common year starting on Monday of the Gregorian calendar and the AD/CE era. ... is the 266th day of the year (267th in leap years) in the Gregorian calendar. ...

External links


  Results from FactBites:
 
The State Children's Health Insurance Program (858 words)
States will have a choice of expanding their existing Medicaid program, creating new state health insurance programs or expanding existing programs in states where they already exist, or a combination.
To avoid siphoning off children who already are insured or could be insured through other means, states cannot use the federal funds to cover children who are eligible for Medicaid or other insurance coverage or whose parents are state employees with access to coverage under a state health benefits plan.
PA state chapters are encouraged to monitor development of state programs and to work with state program developers to make sure that PAs are included as providers under state designed programs.
States trying to sustain kids' health insurance (1438 words)
The issue of uninsured children is of such importance to states struggling to maintain youngsters' health benefits while recovering from record deficits that Virginia Gov. Mark Warner (D), chairman of the National Governors Association, attended the news conference.
However, the overall increase in enrollment in public health programs is offset by a steep drop in the number of kids signed-up for SCHIP in several states during the last six months of 2003, according to a recent report by the Kaiser Commission on Medicaid and the Uninsured.
"States, along with the federal government, have a responsibility to ensure that dollars spent through SCHIP are targeted to families in the most financial need, that the program does not become a substitute for private sector insurance and that the program is managed responsibly," said Gina Hollenbeck, of Wohlgemuth's campaign.
  More results at FactBites »


 

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