Children's Health Insurance: States' SCHIP Enrollment and Spending Experiences and Considerations for Reauthorization

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DIANE Publishing Inc., 2007 - Child health services - 44 pages
In Aug. 1987, the State Children¿s Health Insur. Program (SCHIP) was created, with the goal of significantly reducing the number of low-income uninsured children, esp. those who live in families with incomes exceeding medicaid eligibility require. Congress provided $40 billion from FY1998 through 2007 -- to states with approved SCHIP plans. Subject to certain exceptions, states have 3 years to use each year¿s allocation, after which unspent funds may be redistributed to states that have already spent all of that year¿s allocation. This testimony addresses trends in SCHIP enrollment & the current composition of SCHIP programs across the states, states¿ spending experiences under SCHIP, & considerations identified for SCHIP reauthorization. Charts.

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Page 29 - The Medicare, Medicaid and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA...
Page 37 - GAO, 21st Century Challenges: Reexamining the Base of the Federal Government, GAO-05-325SP (Washington, DC: February 2005...
Page 4 - FPL refers to the federal poverty guidelines, which are used to establish eligibility for certain federal assistance programs. The guidelines are updated annually to reflect changes in the cost of living and vary according to family size. For example, in 1998, 200 percent of FPL for a family of four was $32,900, compared with $41 ,300 in 2007.
Page 7 - The costeffectiveness test requires the states to demonstrate that covering both adults and children in a family under SCHIP is no more expensive than covering only the children.
Page 37 - We also reported that HHS approved state proposals for section 1115 waivers to use SCHIP funds to cover childless adults, which in our view was inconsistent with federal SCHIP law and allowed...
Page 1 - Prior to SCHIP, approximately 19 million Medicaid beneficiaries were children, and combined federal and state expenditures on their behalf totaled $32 billion. However, there remained an estimated 9 million to 11.6 million children who were uninsured at some time during 1997. SCHIP was established to provide health coverage to uninsured children in families whose incomes exceeded the eligibility requirements for Medicaid. Without health insurance coverage, children are less likely to obtain routine...
Page 1 - ... including the financial sustainability of public commitments, and (3) assessing issues associated with equity, including better targeting SCHIP funds to achieve certain policy goals more consistently nationwide. United States Government Accountability Office Mr. Chairman and Members of the Subcommittee: I am pleased to be here today as you address the reauthorization of the State Children's Health Insurance Program (SCHIP). In August 1997, Congress created SCHIP with the goal of significantly...
Page 6 - In addition, a separate child health program may limit its own annual contribution, create waiting lists, or stop enrollment once the funds it budgeted for SCHIP are exhausted.
Page 40 - Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this testimony.
Page 7 - ... new public programs or expansions of existing public programs designed to extend coverage to the uninsured prompt some privately insured persons to drop their private coverage and take advantage of the expanded public subsidy.

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