Jocelyn GuyerJocelyn GuyerCo-Executive DirectorCo-Executive Director

Center for Children and FamiliesCenter for Children and FamiliesGeorgetown University, Health Policy InstituteGeorgetown University, Health Policy Institute

April 4, 2011Caucus Room, Cannon House Office Building

The State of Children's Health, The State of Children's Health, Care and CoverageCare and Coverage

The National LandscapeThe National Landscape

o Remarkable progress in covering children

o Despite budget challenges, nearly all states holding steady in Medicaid and CHIP coverage; a number of states continuing to move forward

o New opportunities and challenges• Health reform implementation

• State budget situation

• National dialogue over Medicaid

• Continuing to move beyond coverage to ensure children secure high-quality, effective care

Unprecedented Progress in Unprecedented Progress in Covering ChildrenCovering Children

Source: U.S. Census Bureau, Current Population Survey, Annual Social and Economic Supplements.

Lowest uninsured rate since census started collecting

data in 1987

Lowest uninsured rate since census started collecting

data in 1987

How All Children are Covered, 2009How All Children are Covered, 2009

Source: Urban Institute and Kaiser Commission on Medicaid and the Uninsured

Total number of children= 79.3 million

How Low-Income Children How Low-Income Children are Covered, 2009are Covered, 2009

Data may not total 100% due to rounding. Low-income defined as below 200% of the federal poverty level.SOURCE: KCMU/Urban Institute analysis of 2010 ASEC Supplement to the CPS.

Total number of low-income children= 37.3 million

AZ AR

MS

LA

WA

MNND

WYID

UT CO

OR

NV

CA

MT

IA

WI MI

NE

SD

ME

MOKS

OHIN

NY

IL

KY

TNNC

NH

MA

VT

PA

VAWV

CTNJ

DEMD

RI

HI

DC

AK

SCNM

OK

GA

TX

IL

FL

AL

< 200% FPL (4 states)

250% or higher FPL (25 states, including DC)200-249% FPL (22 states)

Note: The federal poverty level (FPL) for a family of three in 2010 is $18,310 per year. IL uses state funds to cover children up to 300% of the FPL; OK has a premium assistance program for select children up to 200% of the FPL. AZ’s CHIP program is currently closed to new enrollment.

Source: Based on the results of a national survey conducted by the Kaiser Commission on Medicaid and the Uninsured and the Georgetown University Center for Children and Families, 2011.

Children’s Eligibility for Children’s Eligibility for Medicaid/CHIP by Income, January Medicaid/CHIP by Income, January

20112011

Top Health Conditions Affecting Top Health Conditions Affecting ChildrenChildren

Source: Centers for Disease Control and Prevention, "Health, United States, 2010: With Special Feature on Death and Dying" (February 2011). Note: Data on the prevalence of asthma, ADHD, and respiratory allergies reflect 2007-2009; data on dental carries and obesity reflect 2005-2008.

Key Policy Issues for ChildrenKey Policy Issues for Children

o Implementation of early ACA provisions• Ban on denying coverage to children with pre-existing

conditions• Stability protections• Increase in Medicaid primary care reimbursement rate

o Future of Medicaido Long-term future of ACA

• Transitions between Medicaid and Exchange• Delivery system reforms that address children’s

unique needs• Role of CHIP• Coverage of parents

Looking AheadLooking Ahead

o The progress in covering kids is one of the country’s best-kept secrets

o A model for health reform implementation – bipartisan leadership, smart and creative policy ideas, broad-based public engagement translated into policy gains

o Key opportunity and challenge ahead is sustaining and building on this success for children

o Success will mean better health, reduced disparities, stronger economies, and stronger families

Georgetown Center for Children Georgetown Center for Children and Familiesand Families

o Jocelyn Guyer• jag99@georgetown.edu• 202-784-4077

oOur Website: http://ccf.georgetown.edu/

o Say Ahhh! Our child health policy blog:http://www.theccfblog.org/