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
Figure 1 Uninsured Rates for Children under 18, by State, 2004-2005 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 (2004-2005); US (2005). > 12% (10 states) 9-12% (21 states) < 9% (20 states including DC)
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
Figure 3 Percentage of Children Without Health Insurance, By Poverty Level, 1997-2005 Children below 200% of poverty 23% 21% 14% Children above 200% of poverty 6% 5% 5% 1997 1998 1999 2000 2001 2002 2003 2004 2005 Source: L. Ku, Medicaid: Improving Health, Saving Lives, Center on Budget and Policy Priorities analysis of National Health Interview Survey data, August 2005.
Figure 4 SCHIP and Medicaid Enrollment of Children, FY 1998 FY 2005 Medicaid SCHIP Millions of Children 27.3 27.8 28.3 25.5 23.4 21.8 20.7 20.9.7 2.0 3.4 4.6 5.4 6.0 6.1 6.1 1998 1999 2000 2001 2002 2003 2004 2005 SOURCE: Kaiser Commission on and Urban Institute analysis of HCFA-2082, MSIS, and SEDS data, 2007.
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.
Figure 6 Distribution of Uninsured Children by Eligibility for Medicaid/SCHIP, 2004 11% 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.
Figure 7 Progress in Children s Access to Medicaid and SCHIP Coverage 1997 2006 Number of States 41 36 46 46 6 39 0 16 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, 2006. * ** 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 11 12-Month Continuous Eligibility
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. 2006. Summary of Health Statistics for U.S. Children: National Health Interview Survey, 2004
Figure 9 Spending for SCHIP first outpaced SCHIP allotments in 2002 Annual SCHIP Allotment Federal SCHIP Spending 6 Billions of Dollars 5 4 3 2 1 0 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007* SOURCE: SCHIP Original Allotments: Funding Formula Issues and Options, October 2006. Congressional Research Service. 2006 and 2007 data from the President s FY 2008 Budget submission. *2007 Projected
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%