SCHIP Renewal

2009 ◽  
Vol 28 (3) ◽  
pp. 143-143
Author(s):  
Gail McCain
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Low Income ◽  
Health Care Insurance ◽  
Federal Poverty Level ◽  
Poverty Level ◽  
Low Income Children ◽  
Insurance Program ◽  
Health And Development ◽  
Low Income Families

IN FEBRUARY OF THIS YEAR, THE STATE CHILDREN’S HEALTH Insurance Program (SCHIP) Reauthorization Act of 2009 was officially extended through 2013. SCHIP is a joint insurance program between the federal government and the states, which provides health insurance for low-income children and pregnant women who are not eligible for Medicaid. That is, states provide SCHIP for children in families with incomes up to 200 percent of the federal poverty level ($21,000 to $42,000 for a family of four). SCHIP currently provides health care insurance to approximately 7 million children who otherwise would not receive health care benefits.1 There are an additional 6 million children who are eligible, but not enrolled in either SCHIP or Medicaid.2 As more families face job loss and the associated loss of health insurance, SCHIP is even more important for the health and development of infants and children in low income families.

Health

Getting By ◽  
2019 ◽  
pp. 329-428
Author(s):  
Helen Hershkoff ◽  
Stephen Loffredo
Keyword(s):  
United States ◽  
Health Care ◽  
Health Insurance ◽  
Low Income ◽  
The United States ◽  
Health Coverage ◽  
Eligibility Criteria ◽  
Insurance Program ◽  
Health Insurance Program ◽  
Child Health Insurance

This chapter addresses the issue of health care for low-income people. The United States, virtually alone among developed nations, does not offer universal access to health care, leaving many millions of individuals without health insurance or other means of obtaining necessary medical services. In 2010, Congress enacted the landmark Patient Protection and Affordable Care Act (ACA)—popularly known as “Obamacare”—marking an important but incomplete response to the nation’s health care crisis. This chapter examines the ACA in detail, including its impact on Medicaid and Medicare, the major government health programs in the United States, its creation of Health Insurance Exchanges and tax credits to help low-income households obtain private health coverage, and the reform of private health insurance markets through a patient’s bill of rights, which, among other measures, prohibits insurance companies from refusing coverage for preexisting medical conditions. Perhaps the most critical aspect of the ACA was its expansion of Medicaid to cover virtually all low-income citizens (and certain immigrants) who do not qualify for other health coverage. Although several states opted out of the ACA’s Medicaid expansion, the Medicaid program nevertheless remains the largest single provider of health coverage in the United States. This chapter also provides a detailed description of Medicaid, its eligibility criteria and scope of coverage; the Child Health Insurance Program (CHIP), a government-funded health insurance program for children in households with too much income to qualify for Medicaid; and Medicare, the federal health insurance program for aged, blind, and disabled individuals.

scholarly journals Expanding Access through Public Coverage: Permitting Families to Use Tax Credits to Buy into Medicaid or SCHIP

2001 ◽  
Vol 38 (2) ◽  
pp. 146-158 ◽  
Author(s):  
Alan R. Weil
Keyword(s):  
Health Insurance ◽  
Health Plan ◽  
Low Income ◽  
Health Program ◽  
The State ◽  
Tax Credits ◽  
Tax Credit ◽  
Flow Problems ◽  
Insurance Program ◽  
Low Income Families

A new tax credit to help low-income families and individuals purchase health insurance can address the problem of affordability, but will not overcome other barriers these populations face in obtaining coverage. This paper proposes that families have the option of using a new tax credit to buy into a state-administered system such as Medicaid or the State Children's Health Insurance Program. This option has three advantages. First, it allows families to remain with a single health program and health plan as their income fluctuates. Second, it provides an alternative to the complex and confusing individual insurance market. This alternative is community rated, does not use underwriting, and allows health plan behavior to be monitored closely by the state. Third, it allows the state to act as a financial buffer—helping overcome the barrier to participation that cash-flow problems and year-end reconciliation concerns are likely to create among a low-income population. Many people would want to use their tax credit in the private market, but the buy-in option increases the likelihood that the tax credit approach would succeed.

Child Abuse Can Be Prevented

PEDIATRICS ◽  
1978 ◽  
Vol 61 (2) ◽  
pp. 330-330
Author(s):  
Jules Rako
Keyword(s):  
Health Care ◽  
Child Abuse ◽  
Low Income ◽  
Pediatric Care ◽  
Abused Children ◽  
Low Income Children ◽  
Low Income Families ◽  
Crisis Situations

The article by Elmer (Pediatrics 59:273, February 1977) brings up some alarming findings. Children of low-income families, abused and nonabused controls, all had severe developmental lags. Drs. Cupoli and Newberger in thier commentary (Pediatrics 59:311, February 1977), are optimistic about these abused children because they see strength in the fact that the abused children had no greater developmental lag than the controls. I would like to be as optimistic as these workers in the field of child abuse, but as a practicing pediatrician I must confess that many of our low-income children are being denied access to pediatric care and must rely on fragmental health care, usually during crisis situations.

Evaluation of a State Health Insurance Program for Low-Income Children: Implications for State Child Health Insurance Programs

PEDIATRICS ◽  
2000 ◽  
Vol 105 (2) ◽  
pp. 363-371 ◽  
Author(s):  
P. G. Szilagyi ◽  
J. Zwanziger ◽  
L. E. Rodewald ◽  
J. L. Holl ◽  
D. B. Mukamel ◽  
...  
Keyword(s):  
Health Insurance ◽  
Child Health ◽  
Low Income ◽  
State Health ◽  
Low Income Children ◽  
Insurance Program ◽  
Health Insurance Program ◽  
State Health Insurance ◽  
State Child ◽  
Child Health Insurance

The Emergence of the New Era of Reform

2017 ◽  
pp. 36-59
Author(s):  
Gunnar Almgren
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Low Income ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Successful Implementation ◽  
Health Security ◽  
New Era ◽  
Low Income Children ◽  
Working Families

The chapter begins with a review of the efforts to reform health care in ways that would assure health care for all Americans, beginning with Progressive Era reforms in the early 1900’s through the William Clinton administration’s ill-fated Health Security Act in the early 1990’s. After delving into the less ambitious reforms of late 1900’s aimed at cost-containment and incremental expansions of health insurance coverage for low-income children, the chapter examines the devolution of the employment-based insurance for working families was pivotal to the economic and political context of the Affordable Care Act (ACA) of 2009 –the first federal legislation in U.S. history to advance universal health insurance for all American citizens as its central goal. The chapter concludes with a prognosis for the successful implementation of the ACA, as well as its long term prospects.

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