SCHIP: Let the Discussions Begin

Transcription

1 Figure 0 SCHIP: Let the Discussions Begin Diane Rowland, Sc.D. Executive Vice President, Henry J. Kaiser Family Foundation and Executive Director, Kaiser Commission on for Alliance for Health Reform February 9, 2007

2 Figure 1 Uninsured Rates for Children under 18, by State, CA OR WA NV ID AZ UT MT WY CO NM ND SD NE NE KS TX OK MN IA MO AR LA WI IL MS IN MI TN AL OH KY GA WV SC PA VT VA NC NY NH ME DE CT NJ MD DC MA RI AK FL HI US Average = 12% SOURCE: Urban Institute and KCMU analysis of the March 2006 Current Population Survey. Two-year pooled estimates for states ( ); US (2005). > 12% (10 states) 9-12% (21 states) < 9% (20 states including DC)

3 Figure 2 SCHIP Builds on Medicaid for Children s Coverage SCHIP 6.1 million MEDICAID Coverage: Required for newborns to age 6 up to 133 % FPL; age 6-19 up to 100% Financing: Guaranteed Federal match Entitlement: To beneficiaries and States Medicaid Scope of Coverage: 28 million Includes EPSDT Premiums/Cost- Sharing: Limited Enrollment Caps: Not permitted 2005 Enrollment (Children) SCHIP Coverage: Above Medicaid eligibility levels Financing: Capped; enhanced match Entitlement: To States Scope of Coverage: Benchmark benefits; no mandate for EPSDT Premiums/Cost-Sharing: Permitted Enrollment Caps: Permitted

4 Figure 3 Percentage of Children Without Health Insurance, By Poverty Level, Children below 200% of poverty 23% 21% 14% Children above 200% of poverty 6% 5% 5% Source: L. Ku, Medicaid: Improving Health, Saving Lives, Center on Budget and Policy Priorities analysis of National Health Interview Survey data, August 2005.

5 Figure 4 SCHIP and Medicaid Enrollment of Children, FY 1998 FY 2005 Medicaid SCHIP Millions of Children SOURCE: Kaiser Commission on and Urban Institute analysis of HCFA-2082, MSIS, and SEDS data, 2007.

6 Figure 5 Children s Eligibility for Medicaid/SCHIP by Income, July 2006 WA VT NH ME MT ND OR CA NV ID AZ UT WY CO NM SD NE KS OK MN WI IA IL IL MO AR MS NY MI PA OH IN WV VA KY NC TN SC AL GA DE CT NJ MD DC MA RI TX LA AK FL HI < 200% FPL (10 states) 200% FPL (24 states) > 200% FPL (17 states) *The Federal Poverty Line (FPL) for a family of three in 2006 is $16,600 per year. SOURCE: Based on a national survey conducted by the Center on Budget and Policy Priorities for KCMU, 2006.

7 Figure 6 Distribution of Uninsured Children by Eligibility for Medicaid/SCHIP, % Not Eligible, <300% FPL Eligible for Medicaid or SCHIP 74% 15% Not Eligible, > 300% FPL 8 Million Uninsured *The Federal Poverty Level (FPL) for a family of three in 2004 if $15,067 per year SOURCE: Urban Institute analysis of the 2005 Annual and Social Economic Supplements to the CPS for KCMU. Data has been adjusted for the Medicaid undercount. CPS does not fully account for immigration status so estimates in the eligible category potentially include some undocumented children.

8 Figure 7 Progress in Children s Access to Medicaid and SCHIP Coverage Number of States Eligibility at or above 200% FPL No Asset Test states apply Continuous Eligibility to their SCHIP program SOURCE: Based on a national survey conducted by the Center on Budget and Policy Priorities for KCMU, * ** No Interview at Enrollment *Earliest data measuring 12-Month Renewal period collected in July 2000 **Not an option earliest data measured in November 1998; in 2006 an additional Month Continuous Eligibility

9 Figure 8 Children s Access to Care, by Health Insurance Status, 2004 Private Medicaid/Public Uninsured 36% 4% 2% 25% 17% 14% 11% 4% 2% 3% 1% 2% 2% 8% 4% 21% 12% 17% No Usual Place of Care Delayed Care due to Cost Unmet Medical Need Last MD* Visit >2 Years Ago Unmet Dental Need Last Dental Visit >2 Years Ago * MD or any health care professional, including time spent in a hospital. All estimates are age-adjusted. Source: National Center for Health Statistics, CDC Summary of Health Statistics for U.S. Children: National Health Interview Survey, 2004

10 Figure 9 Spending for SCHIP first outpaced SCHIP allotments in 2002 Annual SCHIP Allotment Federal SCHIP Spending 6 Billions of Dollars * SOURCE: SCHIP Original Allotments: Funding Formula Issues and Options, October Congressional Research Service and 2007 data from the President s FY 2008 Budget submission. *2007 Projected

11 Figure 10 Spending Expected to Exceed Allotments in 37 States in FY 2007 TN WA Spending = 100% of Allotment CT VT NV NH DC TX IN SC DE CO UT AZ ID PA WY AR OR MT NY KY OK OH NM VA MI FL NC WV SD CA ND AL WI KS LA MO HA NE IA ME MN GA AK MS MD IL NJ MA RI at 450% 0% 50% 100% 150% 200% 250% 300% 350% SOURCE: Data on allotments and spending from CRS, State Children's Health Insurance Program: A Brief Overview. 10/12/2006. National average is 130%