Chip works what s next carrie fitzgerald
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CHIP Works – What ’ s next? Carrie Fitzgerald PowerPoint PPT Presentation


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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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Chip works what s next carrie fitzgerald

CHIP Works – What’s next?Carrie Fitzgerald


A little bit of background

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


A little more background

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


Chipra signed in february 2009

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


Chip works what s next carrie fitzgerald

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


Chip covers kids

CHIP Covers Kids

www.firstfocus.net


Chip enrollment 2002 2012

CHIP Enrollment 2002-2012

www.firstfocus.net


Chip where does it stand now

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


What if

WHAT IF…

www.firstfocus.net


What happens if chip goes away

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


Chip vs exchange plans what is best for low income children

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


Chip compared to exchange plans

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


Chip compared to exchange plans1

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.


How can we protect chip

How Can We Protect CHIP?

www.firstfocus.net


National health advocates working on chip strategy

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


February 4 th chipra 5 th anniversary

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


What state advocates can do

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


Voters want to protect chip

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


Do what you do best

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


The road ahead steps to achieve success

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


Please keep in touch

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


Thank you

Thank You!

Carrie Fitzgerald

202-657-0663

www.firstfocus.net


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