School Health Initiatives Midwestern Regional

Conference

July 23 – 24, 2008, July 23 – 24, 2008,

Indianapolis, IndianaIndianapolis, Indiana

  

Health Care + Education =Healthy Communities:

Why Schools Fit the Equation

Midwest 101Children’s Healthcare

Across the Region 

December 2004

IllinoisIndiana

IowaKentucky*Michigan

MinnesotaNebraska

North DakotaOhio

South DakotaWisconsin

December 2004

Midwest Region

Importance of Health Coverage

December 2004

• Uninsured Americans are four times more likely to require avoidable hospitalizations and emergency hospital care

• Uninsured women receive fewer prenatal services

• Uninsured newborns are more likely to have a low birthweight or to die

Importance of Health Coverage

December 2004

• Uninsured children are 70% more likely not to receive care for common conditions like ear infections

• Uninsured children are 30% less likely to receive medical attention for injuries

The Uninsured

December 2004

• 8.7 million uninsured children under age 18 are in America (up 11.7% in 2006)

• Children in poverty are more likely to be uninsured then the population of all children in 2006 (19.3%)

• Midwest has the lowest uninsured rate at 11.4%

Importance of Health Coverage

December 2004

•The movement began in 1970• 2004-05 census identified more than 1709 school-connected centers nationally• SHC’s adapt to meet the age appropriate needs of students with unique services to that school and community •Through prevention, early detection and treatment of health problems, absenteeism is reduced

School Health Programs

School Health Programs

December 2004

•80% of programs serve at least one grade of adolescents•41% are designated as Title One schools•6% are in alternative schools•42% are in schools with more than 1000 students

Illinois

Political Environment• Federal legislators supporting

Kids/School Health; • State legislation/supporters/

issues; • Election issues

Illinois

Children’s Health Coverage:• Medicaid: AllKids• SCHIP Program: AllKids• 200% FPL (no limit)

Greatest success regarding children’s health coverage overall

Illinois53 School Health Center Programs

serving 1/3 of all the high schoolsIllinois Coalition for School Health

CenterGreatest success:• Youth Advocacy Council; • 3M in the Governor’s budget to

start 20 new centers• 3% COLA in FY08 budget

Indiana

Political Environment• Federal legislators supporting

Kids/School Health; • State legislation/supporters/

issues; • Election issues

Indiana

Children’s Health Coverage Overview:• Medicaid Program-Hoosier

Healthwise• SCHIP Program-Hoosier Healthwise• 250% FPL

Greatest success:• Bipartisan authorization to 300%

Indiana

School Health Center Programs:• 88 school based, mobile and linked

No coalition or statewide chapterGreatest success regarding school

health

Iowa

Political Environment• Federal legislators supporting

Kids/School Health; • State legislation/supporters/

issues; • Election issues

Iowa

Children’s Health Coverage Overview:• Medicaid program: Medicaid • SCHIP Program-Hawk-i• 200% FPL

Greatest success regarding children’s health coverage

Iowa

School Health Center Programs:• 15 school based, mobile and linked

centers

No State AssociationGreatest success regarding school

health

Michigan

Political Environment• Federal legislators supporting

Kids/School Health; • State legislation/supporters/

issues; • Election issues

Michigan

Children’s Health Coverage Overview:• Medicaid Program-Healthy Kids• SCHIP Program-MIChild• 200% FPL

Greatest success regarding children’s health coverage

Michigan

School Health Center Programs:• 86 school based/linked centers

serving over 100,000 students

School-Community Health Alliance of Michigan

Greatest success:• Reimbursement for mental health

services

Michigan

Greatest success (cont):• Secured 2M in Governor

recommended funding • A new Unit within the MDCH on

adolescents and school heath services

• Additional reimbursement for prevention services

Minnisota

Political Environment• Federal legislators supporting

Kids/School Health; • State legislation/supporters/

issues; • Election issues

Minnesota

Children’s Health Coverage Overview:• Medicaid Program-Medical

Assistance• SCHIP Program-No separate

program• 275% FPL

Greatest success regarding children’s health coverage

Minnesota

School Health Center Programs:21 centers

No State AssociationGreatest success regarding school

health

Nebraska

Political Environment• Federal legislators supporting

Kids/School Health; • State legislation/supporters/

issues; • Election issues

Nebraska

Children’s Health Coverage Overview:• Medicaid Program-Kids Connection• SCHIP Program-No separate

program• 185% FPL

Greatest success regarding children’s health coverage overall

Nebraska

School Health Center Programs:0 centers

No State AssociationGreatest success regarding school

health

North Dakota

Political Environment• Federal legislators supporting

Kids/School Health; • State legislation/supporters/

issues; • Election issues

North Dakota

Children’s Health Coverage Overview:• Medicaid Program-Medicaid• SCHIP Program-Healthy Steps• 150% FPL

Greatest success regarding children’s health coverage

North Dakota

School Health Center Programs:0 centers

No State AssociationGreatest success regarding school

health

Ohio

Political Environment• Federal legislators supporting

Kids/School Health; • State legislation/supporters/

issues; • Election issues

Ohio

Children’s Health Coverage Overview:• Medicaid Program-HealthyStart• SCHIP Program-No separate

program• 300% FPL

Greatest success regarding children’s health coverage

OhioSchool Health Center Programs:• 26 centers that vary based on

student need. Some offering mobile units serving several schools

Ohio School-Based Health Care Association

Greatest success:• Held legislative visits; • Secured sponsor of S. 600

South Dakota

Political Environment• Federal legislators supporting

Kids/School Health; • State legislation/supporters/

issues; • Election issues

South Dakota

Children’s Health Coverage Overview:• Medicaid Program-Medicaid• SCHIP Program-CHIP• 200% FPL

Greatest success regarding children’s health coverage

South Dakota

School Health Center Programs:• 4 centers

No State AssociationGreatest success regarding school

health

Wisconsin

Political Environment• Federal legislators supporting

Kids/School Health; • State legislation/supporters/

issues; • Election issues

WisconsinChildren’s Health Coverage

Overview:• BadgerCare Plus• SCHIP Program-No separate

program• 185%

Greatest success regarding children’s health coverage

Wisconsin

School Health Center Programs:• 16 centers

No State AssociationGreatest success regarding school

health