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CHIP Works – What ’ s next? Carrie Fitzgerald

CHIP Works – What ’ s next? Carrie Fitzgerald. A Little Bit of Background. The State Children ’ s Health Insurance Program (SCHIP) was created in 1997 to insure children in families with too much income to qualify for Medicaid and too little to afford private insurance.

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CHIP Works – What ’ s next? Carrie Fitzgerald

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  1. CHIP Works – What’s next?Carrie Fitzgerald

  2. A Little Bit of Background • The State Children’s Health Insurance Program (SCHIP) was created in 1997 to insure children in families with too much income to qualify for Medicaid and too little to afford private insurance. • States have the option of providing coverage in CHIP through Medicaid, a separate program, or a combination of the two. www.firstfocus.net

  3. A Little More Background • There is also flexibility in benefit design, though benefits must meet certain set standards. • As in Medicaid, state payments for CHIP qualify for federal matching payments. On average, the federal government pays 70 percent and state governments pay 30 percent of program costs. www.firstfocus.net

  4. CHIPRA Signed in February 2009 • The five year anniversary of the signing of CHIPRA – February 4th(Children’s Health Insurance Program Reauthorization Act) www.firstfocus.net

  5. CHIPRA 2009 • $32.8 billion, 5-year reauthorization • Eligibility Changes • Legal immigrant children and pregnant women • Low-income pregnant women • Outreach and Enrollment • Express Lane Eligibility • $100 million in outreach and enrollment grants • Benefit Improvements • Dental benefits • Mental health parity

  6. CHIP Covers Kids www.firstfocus.net

  7. CHIP Enrollment 2002-2012 www.firstfocus.net

  8. CHIP – Where Does It Stand Now? CHIPRA fundedCHIP until 2013 The Affordable Care Act authorizes CHIP until 2019 and funds it through FY2015 www.firstfocus.net

  9. WHAT IF… www.firstfocus.net

  10. What Happens If CHIP Goes Away? • The Government Accountability Office (GAO) says that two million children will go uninsured due to the kid glitch/affordability test. • The rest will likely go into plans in the Marketplaces. Those plans may not have the same cost protections, provider networks, and benefits as CHIP. www.firstfocus.net

  11. CHIP vs. Exchange Plans: What is Best for Low-Income Children? CHIP is Clearly Better at This Point • Benefits – CHIP • Affordability: Premiums/Cost Sharing - CHIP • Adequacy of Pediatric Provider Networks - CHIP • Guarantee of Coverage/Entitlement - CHIP • Family Coverage - Exchanges • Focus on Pediatric Quality of Care - CHIP

  12. CHIP Compared to Exchange Plans FIGURE 1:Actuarial Values for Children in 17 State CHIP Programs and 3 Benchmark Plans, 2010 (175% FPL) *Senate HELP bill requires plan at least equivalent to typical employer-based plan. CA: 0.980, CO: 0.984, CT: 1.000, DC: 1.000, IA: 1.000, MD: 1.000, ME: 1.000, MT: 0.984, NC: 0.989, NH: 1.000, NM: 1.000, NV: 1.000, NY: 1.000, PA: 1.000, TX: 0.964, WA: 1.000, WV: 0.922

  13. CHIP Compared to Exchange Plans FIGURE 3:FAMILY’S TOTAL EXPENSE TO COVER ONE CHILD IN TOP 10% OF USERS, 2010 (225% FPL) n/a n/a Senate Finance estimate based on Silver plan. “n/a” indicates states that do not offer CHIP coverage at 225% FPL.

  14. How Can We Protect CHIP? www.firstfocus.net

  15. National Health Advocates Working on CHIP Strategy: • First Focus • Children’s Defense Fund • American Academy of Pediatrics • Children’s Hospital Association • March of Dimes • Family Voices • Georgetown Center for Children and Families www.firstfocus.net

  16. February 4th – CHIPRA 5th Anniversary • Launch Day for Efforts to Renew Funding • Event with Senator Rockefeller’s (D-WV) Office • Senator Rockefeller Will File a Bill in Late February or Early March • Hearing on the Hill in March www.firstfocus.net

  17. What State Advocates Can Do • Promote the success of CHIP in your state • Celebrate the five year anniversary of CHIPRA • Talk to the press about CHIP stories • Meet with your congressional delegation about CHIP www.firstfocus.net

  18. Voters Want to Protect CHIP Oppose CHIP Cuts Support CHIP Cuts Don’t Know Source: First Focus Campaign for Children, research by Public Opinion Strategies, 2012 www.firstfocus.net

  19. Do What You DO Best! SOCIAL MEDIA PRESS EVENTS OP-EDS , Letters to the Editor VIDEOS Events with Your Governor or Congressional Members www.firstfocus.net

  20. The Road Ahead: Steps to Achieve Success Protect Child Health CHIP Works Cover All Kids Increase Knowledge: Share research/data, family stories Support Agenda: Strong & unified voice Build Will: Coalition building, find champions, & communications/messaging Take Action/Create Opportunities: Celebrate wins & make/take advantage of opportunities

  21. Please Keep in Touch Send info on what your Governor is saying Share info from your congressional visits Send us media clips and press coverage Ask us for help!! www.firstfocus.net

  22. Thank You! Carrie Fitzgerald 202-657-0663 www.firstfocus.net

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