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States to continue and expand coverage for children and poor families, despite the recession
Despite the deep recession Most States have managed to maintain and in some cases, expand health coverage for children and parents in their Medicaid and Children's Health Insurance Program in 2009, according to a new study by the Commission, the Kaiser Family Foundation on Medicaid and the uninsured. But the gains, which could serve as a basis for coverage of millions of people in the health reform, are threatened by the impending end of federal assistance to the key end of 2010 and prior coverage of the health reform will begin.
50th anniversary of the state eligibility rules, registration and renewal procedures and practices of cost sharing for Medicaid and CHIP for children and parents found that, in general, most states in 2009 has continued to increase and simplify their Medicaid and CHIP programs, the main vehicle to provide coverage to small children income families, even amid dark economic picture in the years and fiscal pressure. However, budget deficits have resulted reductions in some states.
"The renewal of CHIP and tax relief and eligibility for registration and protection in the Medicaid recovery and Reinvestment Act (ARRA), was essential to enable States to continue its commitment to provide coverage to millions of low income families, "said Diane Rowland, Executive Vice President of the Foundation and executive director of KCMU. However, even with signs of economic recovery, state revenues still mired in a severe depression and, at the end of federal funding has increased from 2010, budget deficits are likely to cause States to consider significant cuts to Medicaid and the chip. "
Despite national achievements, highlighting disparities remain
Although the survey reveals an overall significant progress at national level in the expansion of public coverage or go the easy access to large variations in coverage persist. Survey Results:
* Currently, 47 states cover children in families whose annual income is below 200 percent of federal poverty level ($ 36,620 for a family of three), with half (24 states) for children from families whose income is less than 250 percent of poverty ($ 45,775 for a family of three).
* The eligibility levels for parents to remain behind and the gap between children and parents is increasing. Currently, the income limit income eligibility for children is 235 percent of federal poverty level ($ 43,029 for a family of three people) compared to the median of a working parent in 64 percent of the federal poverty level ($ 11,718 for a family of three).
* More than half the states (26, below) has increased the coverage of low-income children, parents, families and pregnant women, either by extending eligibility simplifying registration procedures and reduce financial barriers. Children were the main beneficiaries of the expansion in 2009 with 19 of the 26 states in improving access to coverage of children by increasing eligibility, simplifying procedures and the elimination of bonuses. These 26 states including Alabama, Alaska, California, Connecticut, Florida, Idaho, Iowa, Indiana, Kansas, Louisiana, Maryland, Montana, North Dakota, Nebraska, New Mexico, New Jersey, New York, Ohio, Oregon, Rhode Island, South Carolina, South Dakota, Tennessee, Virginia, Washington and West Virginia.
* Fifteen states indicated below, the reduction of CHIP coverage in their programs during 2009. Although no state reduced eligibility for children, two states (California and Tennessee) CHIP enrollment freeze for a period of time in 2009 and a state reduces eligibility for parents. Other measures include increasing waiting time, retractions in simplifying eligibility, and increases relatively modest premiums of CHIP. Even after recent increases, the average premium paid by CHIP for two children in families with incomes at 200 percent Poverty remains modest $ 480 annually, a gain of 1.3 percent of household income. These 15 states, including Arizona, California, Montana, Tennessee Florida, Maine, Maryland, Missouri, North Carolina, New Hampshire, New York, Pennsylvania, Utah, Washington and Wisconsin. Arizona also eliminates coverage for parents and Montana retracted its procedures for verifying the results simplified CHIP.
The gains could be eroded by the recession, the weakening of the basic coverage for health reform
Commitment of States to provide Medicaid and CHIP coverage to low-income children and families will be tested in 2010 as a sad state budget circumstances persist. Recent forecasts suggest that states face shortages even greater in the coming year. At the same time, federal aid to states are based under the ARRA is set to expire at the end of calendar year 2010, and with it the obligation of States to maintain eligibility levels and not impose barriers to entry. This raises the prospect of substantial reductions in state Medicaid and chip that could reverse the development Recent and undermine the foundations of coverage to low income families at a time of broader efforts to strengthen the reform of health care.
Bills reform of the Congress building to extend Medicaid health coverage to millions of people, but differ in the extent of expansion they imagine the level that would provide federal support to states, and how they deal with coverage of children. The results of the study provide a benchmark against which future progress can be measured. In addition, since the politicians are trying to create legislation ultimately he can use that States have learned the importance of simplifying procedures for registration and renewal, composed of parents, and sharing cost limit. The simple procedures and coordinated have helped to ensure that eligible children and parents to obtain and maintain coverage and helped families the smooth transition between programs when family circumstances change, is essential in a new health insurance system.
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