Lead Poisoning: Federal Health Care Programs Are Not Effectively Reaching At-Risk Children
Lead poisoning, a preventable condition, is one of the most serious environmental health threats to children in the U.S. This report reviews federal activities for ensuring that at-risk children receive screening & treatment for lead poisoning. In particular, it addresses the risk of lead poisoning faced by children served by federal health care programs, the extent to which children served by these programs have been screened for this condition, reasons why screenings may not be occurring, & problems faced by federal health care programs in ensuring that children who have been identified as having harmful lead levels in their blood receive timely follow-up treatment.
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Affected by Lack analysis assess blood lead levels blood lead screening blood lead test CDC grant CDC recommends CDC’s chelation therapy child childhood lead poisoning children aged children in Medicaid Children Served Comments From HHS conducted coordination elevated blood lead enrolled in Medicaid ensure that children federal health federal health care fee-for-service follow-up services follow-up tests Follow-Up Treatment George Washington University guidelines HCFA HCFA’s health care programs health departments health services high risk HRSA identiﬁed Lack of Oversight lead exposure lead poisoning prevention lead screening policies lead-based paint low-income managed care contracts Medicaid agencies Medicaid managed Medicaid programs medical records Methodology and Results monitoring NHANES data number of children nutrition pg/dl population prevalence of elevated preventive health Problems Hinder Public Health Rates Are Affected reviewed sample Screened for Elevated screening and treatment screening rates Served by Federal source of lead speciﬁc ug/dl or higher visited Washington Watsonville
Page 3 - The Honorable Tom Davis Chairman The Honorable Henry A. Waxman Ranking Minority Member Committee on Government Reform House of Representatives The Honorable Susan M.
Page 61 - ... must be dealt with in this Congress to ensure the continued viability of the home care program. 1. Medically complex patients A 1998 study conducted by The Lewin Group entitled "Implications of the Medicare Home Health Interim Payment System (IPS) of the 1997 Balanced Budget Act" and a 1998 study by the Center for Health Policy Research of the George Washington University entitled "Medicare Home Health Services: An Analysis of the Implications of the Balanced Budget Act of 1997 for Access and...
Page 21 - WIC was established in 1972 to counteract the negative effects of poverty and poor nutrition on prenatal and pediatric health. WIC provides a combination of direct nutritional supplementation, nutrition education and counseling, and increased access to health care and social service providers for pregnant, breastfeeding, and postpartum women; infants; and children up to age five.
Page 70 - Survey (NHANES), conducted multiple times since 1960 by the National Center for Health Statistics of the Centers for Disease Control and Prevention (CDC), is designed to provide national estimates of the health' and nutrition status of the noninstitutionalized civilian population of the United States aged 2 months and older.
Page 51 - American Academy of Pediatrics, Committee on Environmental Health, "Screening for Elevated Blood Lead Levels,
Page 20 - Head Start's primary goal is to improve the social competence of children in low-income families. To support...
Page 16 - National Research Council. Measuring lead exposure in infants, children, and other sensitive populations.
Page 21 - We are sending copies of this report to the Ranking Minority Member of the House Committee on Government Reform and Oversight...
Page 28 - Screening Young Children for Lead Poisoning: Guidance for State and Local Public Health Officials.