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National

  • States Affected by Proposals to Restrict SCHIP Coverage Options

    By Jocelyn Guyer This issue brief provides an analysis on which states would be affected by policy proposals to limit SCHIP funding to children with family income at or below 200 percent of the federal poverty level. It shows that more than half of the states (28 states) are potentially affected by this type of…

  • SCHIP Funding for Parents

    By Jocelyn Guyer This memo provides information on the history, scope, and value of SCHIP financing for family coverage. It shows that that although SCHIP coverage for parents represents a small fraction of SCHIP funding, it has provided states with flexibility to address the growing number of uninsured Americans.  

  • Key Issues in SCHIP Reauthorization

    Author: Cindy Mann Association of Health Care Journalists — Presentation Document March 2007

  • Premium Assistance Programs: Do They Work for
 Low-Income Families?

    Author:Joan Alker U.S. House of Representatives Education and Labor Committee, Subcommittee on Health, Employment, Labor and Pensions
 – Testimony Document March 15, 2007

  • SCHIP Ten Years Later: What Have We Learned

    Author: Cindy Mann State Health Research and Policy Interest Group, Academy Health — Presentation Document February 2007

  • The Future of CHIP: Improving the Health of America’s Children

    Author: Cindy Mann U.S. Senate Finance Committee 
– Testimony Document February 1, 2007

  • Too Close To Turn Back: Covering America’s Children

    Based upon the research and the experience gained since the enactment of SCHIP in 1997, this report describes the important issues at stake for children in the 2007 debate over reauthorization of the program, the progress the country has made in covering children, and the steps that could be taken to move forward.  

  • Children’s Eligibility for SCHIP

    Federal rules establish which children states can cover with federal SCHIP funds. This issue brief explains these federal rules, including how they affect the income level, and insurance and citizenship status of children who can be covered under SCHIP.  

  • SCHIP’s Financing Structure

    This issue brief discusses the basic financing for the SCHIP program, including the rules governing how SCHIP funds can be used and the mechanisms used to distribute available SCHIP funds to the states.  

  • The Deficit Reduction Act: A Review of Key Medicaid Provisions Affecting Children and Families

    The Deficit Reduction Act, signed into law by President Bush on February 8, 2006, includes significant changes to Medicaid coverage rules affecting children and families that are designed to reduce federal spending. This issue brief reviews changes in Medicaid’s benefit, cost-sharing, and premium standards. It also examines a citizenship documentation requirement and a “health opportunity…

  • Children’s Health in the Balance: What’s At Stake for Children in the Congressional Budget Debate over Medicaid

    This issue brief compares the House of Representatives and Senate versions of the fiscal year 2006 budget bill. Both versions limit federal health care spending, but in very different ways that would have profound consequences for children. The implications of these budget proposals are discussed in detail. President Bush signed into law a final fiscal…

  • A Summary of Federal Medicaid Cost-Sharing and Premium Standards: Current Law v. The House Budget Bill

    By Jocelyn Guyer This brief provides a comparison of federal Medicaid rules governing premiums and cost-sharing in effect as of November 2005 with those proposed in the fiscal year 2006 House of Representatives budget bill passed on November 15, 2005. The House bill gives states new flexibility to vary premium and cost-sharing charges by group…

  • Six Million Children on Medicaid Could Be Subject To Dramatically Higher Premiums and Cost-Sharing Charges under the House Budget Bill

    By Jocelyn Guyer This issue brief focuses on premium and cost-sharing changes in the fiscal year 2006 House of Representatives budget bill passed on November 15, 2005. The bill gives states broad flexibility to impose premiums and other cost-sharing mechanisms, as well as increase the maximum amounts states can charge beneficiaries. The implications of these…

  • Cost-Sharing Provisions in the Energy and Commerce Medicaid Package: Key Issues for Children and Families

    By Jocelyn Guyer On October 27, 2005 the House of Representatives Energy and Commerce Committee adopted a proposal to reduce federal Medicaid spending and alter federal standards that ensure coverage remains affordable. This issue brief details the proposed changes and the impact they will likely have on children and adults with disabilities or chronic conditions.…

  • Differences That Make A Difference: Comparing Medicaid and the State Children’s Health Insurance Program Federal Benefit Standards

    This issue brief analyzes the differences between Medicaid and SCHIP’s benefit standards. It reviews the health care guarantees that children would lose if the Medicaid standard were replaced by SCHIP-like rules.  

  • Why Medicaid Matters: The Frontline Perspectives of People with Chronic Conditions

    This report begins with a review of how Medicaid supports people with chronic conditions, focusing on the strong benefit and cost-sharing standards that apply nationwide to assure that the coverage provided is both comprehensive and affordable. It also presents some of the consequences to people and their health that could result from changes under policy…

  • NGA’s Short-Run Proposal for Cost-Sharing In Medicaid: Key Implications for Children

    In August 2005, the National Governors Association released a Medicaid reform proposal that, among other things, calls for significantly increasing the amount that states can charge low-income Medicaid beneficiaries. This issue brief outlines the provisions of the proposal, detailing the implications for low-income children and their families.  

  • Federal Medicaid Benefit Standards: Questions and Issues Raised By the NGA’s Preliminary Recommendations

    Author: Cindy Mann In June 2005, the National Governor’s Association released a preliminary Medicaid reform proposal that, among other things, recommends that states be permitted to provide different groups of children and adults with different benefit plans. This issue brief summarizes the proposal’s benefit recommendations and identifies some of the key questions and issues they…

  • A Success Story: Closing the Insurance Gap for America’s Children through Medicaid and SCHIP

    After providing a brief background on Medicaid and SCHIP, this issue brief summarizes the available evidence to determine what the effect of the programs has been on the uninsured rate of low-income children. In addition, it examines the extent to which Medicaid and SCHIP provide children with access to needed care and whether the coverage…

  • Cost Sharing In Medicaid: Issues Raised By the NGA’s Preliminary Recommendations

    By Jocelyn Guyer In June 2005, the National Governor’s Association released a preliminary Medicaid reform proposal that, among other things, recommends changing Medicaid cost-sharing policies, largely to mirror those applied to children under SCHIP. This issue brief reviews the existing cost-sharing provisions in SCHIP and identifies key issues that arise from the proposal to apply…