Childrens Health Insurance Program

As of 2008, there are approximately 73.9 million children living in the United States. Of these children more that 5.5 million have some form of mental or physical disability. In addition, 77 percent of uninsured children come from low-income families (CoverTheUninsured.org, 2008). However, Missouri’s population of uninsured children fares much better at almost half the national average or 7.2 percent (Missouri Foundation for Health, 2004). More than 8 million children in America are uninsured. That means 1 out of every 10 does not have any form of health coverage. Racial and ethnic disparities among those uninsured children are dramatic. Most recent data has found that one in 13 White children is uninsured compared to: one in five American Indian children, one in six Latino children, one in nine African American children, one in nine Asian/Pacific Islander children. (Children’s Defense Fund, 2010)

Early in the panel, Barbara Vinograde talked about how easily a monthly payment for private insurance can cripple a low-income family – as payments can often be large fractions of someone’s budget. Worse yet, Betsy Momany describes an all-to-common situation where those who do have certain government insurances can’t utilize them because care providers won’t take them in due to the lack of profitability when helping them. This occurs in a productivity-based system, where physicians are paid by the insurance companies, which leads them to accepts those insurances that pay them the most per visit. Further effects of this lack of assistance and care are things like obesity and diabetes amongst low-income children. According to Dr. Eleanor Lisa Lavadie-Gomez, major food companies work hard to get children addicted to sugary food, and they profit off of the fact that the poor can only buy processed food because they can’t afford to spend money of fresh food that could go bad. Because these families don’t have better options, they experience negative health consequences, which then go untreated when these children aren’t provided proper

Medicaid is a social health care program that covers nearly 60 million Americans, including children, pregnant women, seniors, parents and individuals suffering with disabilities. Medicaid is the biggest source of funding for health related services and medical needs for the people with low income in the United States. This program is funded jointly by the state and federal level governments, but it is the state’s responsibility to manage this program. The Medicaid program is not a required program that states have to use, but all 50 states have implemented this program. With the introduction of the Affordable Care Act (ACA), and its passing in 2010, the ACA unveiled its plans to expand Medicaid eligibility to nearly all low-income adults as an addition to the other groups that fall into the Medicaid eligibility. The Medicaid program had “many gaps in coverage for adults” because it was only restricted to the low income individuals and other people with needs in their own specific category. In the past, the majority of the states who had adults that did not have children dependent on those parents were not eligible for Medicaid. These low income adults without dependent children would be without medical insurance assistance before the ACA was introduced. Medicaid is now available to all Americans under the age of 65 whose family income is at or below the federal poverty guideline of “133 percent or $14,484 for an individual and $29,726 for a family of four in 2011” (NSCL).

Large populations of Americans are uninsured mainly because of the high cost of insurance. Majority of the uninsured are the low-income working families’. The adults represent a higher percentage of the uninsured than children. Before the law, you could be denied coverage or treatment because you had been sick in the past, be dropped mid-treatment for making a simple mistake on your application, hence, the Affordable Care Act was implemented into law on March 23, 2010 by President Barrack Obama to make sure that every American irrespective of their status will be insured and have full access to proper health care benefits, rights and protection(1). To understand the

For those adults with children that are not eligible for Medicaid but their income is not enough for private insurance, KidsCare was an option until it froze in January 2010 due to a cost-cutting effort. KidsCare is a state sponsored insurance program for low-income families that is part of the federal Children’s Health Insurance Program (CHIP). Arizona is currently the only state that does not have a CHIP program which forces families that were on the program to partake in the health care exchange and pay for private insurance or forgo health coverage and be uninsured (Whiteman, M., 2014). The number of children covered at the time of the program freeze went from 45,000 to about 2,000, which was a ninety-five percent drop (Whiteman, M., 2014). Governor Jan Brewer proposed to restore coverage to thousand of children through KidsCare II, where Phoenix Children’s Hospital, Maricopa Integrated Health System, and the University of Arizona Health Network would pull money together and receive extra federal funds. The federal funds that the

Before the ACA was passed, all states decided to raise the eligibility for children under Medicaid and Children Health Insurance Program (CHIP). North Carolina raised the Medicaid FPL for families with children greater than 6 years old up to 216% (Milstead, 2013, p. 203). However, now that North Carolina has not chosen to expand the Medicaid program non-disabled adults are limited to 43% FPL and childless adults are ineligible (Kaiser Family Foundation, 2014). Those not eligible for Medicaid and CHIP that have incomes between 100% and 400% FPL may be entitled to tax credits if they purchase insurance in the marketplace (Kaiser Family Foundation, 2014). This raises another problem in North Carolina’s uninsured population. The ACA is written by the principal of low income people receiving coverage through the Medicaid expansion, therefore people below FPL are not eligible for Marketplace subsidies (Healthcare, 2015). North Carolina’s uninsured adult population is around 319,000 which is 20% of the uninsured in the state (Kaiser Family Foundation, 2014). This population qualified for the Medicaid expansion under the ACA and all fall below the FPL and now will remain uninsured.

Public coverage programs such as Medicaid and SCHIP (State Children's Health Insurance Program) are available to low-income families, however this safety net is not available to all children. The lack of health insurance and/or public coverage can have a significant effect on the health and well-being of Hispanic children.

The United States health care system is considered broken because we do not have one universal system. Within the American system there are different types of health insurance such as private, group or self-insurance. The United States works on a fee-for-service system so the providers receive money for every service they provide therefore the medical bills for Americans are significantly high. Before the Affordable Care Act was implemented a few forms of government programs were Medicaid, the Children’s Health insurance Program and Medicare. Medicaid and Children’s Health Insurance Program were to help insure the low income citizens and their children. CHIP and Medicaid are both funded by the government and state but administered by the individual states. CHIP covers children whose family income is up to 200% of the poverty level. Medicaid insures low income citizens but can also

The Patient Protection and Affordable Care Act (PPACA), commonly referred to as “Obamacare,” completely changed the American healthcare system. The purpose of the bill was to lower the cost of healthcare, improve health outcomes, and lower the national uninsured rate. To lower the cost of healthcare, the bill provides federal subsidies for government-sponsored healthcare plans to any person or family whose income is between one and four times the federal poverty level and is not covered by their employer, Medicaid, or Medicare (Neporent). In addition, the bill allows children to stay on their parents’ insurance plans until they are 26. Previously, children could only be on their parents’ plans until age 19 ("Is the Affordable Care Act Working?").

Signed into law in 1997, Children’s Health Insurance Program (CHIP) provides health coverage to approximately eight million children. This law encompasses families whose incomes are too high to qualify for Medicaid, but cannot afford the expense of private health insurance. CHIP is like Medicaid, it’s managed by the states, but different because it’s jointly funded by the federal government and by the states. The Affordable Care Act of 2010 retains the CHIP eligibility standards and extended CHIP funding until October 1, 2015. The Affordable Care Act also provides an additional $40 million in federal funding to continue efforts to encourage enrollment in Medicaid and CHIP.

One of the major social problems in the United States is the increasing number of uninsured people who are among the vulnerable populations in the America. In 2008, there were approximately 46 million of non-elderly Americans without health insurance including adults and children. While this population includes people from all age ranges, young adults account for a significant portion of these people since they are likely to be uninsured. Moreover, many uninsured individuals are in families with at least a single full-time worker as Hispanics excessively have the highest rates of the uninsured. However, the huge share of this population is white Americans as compared to people from other races.

The purpose of The Affordable Care Act (ACA) is to increase access and make it more affordable for all Americans. Unfortunately, the US health care delivery system lacks the ability to plan, direct, and coordinate from a central agency making it difficult for citizens to obtain health coverage. For that reason, The Affordable Care Act in 2010 became the most extensive health care reform in US history with its main objective to reduce the number of uninsured. The ACA permitted some standards in the health care delivery system to achieve universal coverage. Some examples were authorizing health insurances to start covering children and young adults below the age of 26 under their parents’ health insurance plans also allowing the law to lower

The Children’s Health Insurance Program (CHIP) was created in 1997 to give health insurance to nearly 11 million uninsured children. Many of these children came from uninsured families that made too much money to be eligible for Medicaid. All 50 states have CHIP plans (Medicaid History).

The ACA of 2010 has a key goal of increasing access to health care by providing uninsured American’s with options to obtain health insurance. One way this is being done is allowing parents to keep their children on their health insurance plan, up to the age of 26 (HHS, n.d.). Another example is the option for states to expand Medicaid, and receive funding from the federal government to accomplish this. Medicaid covers

One of this health care’s programs objective is to limit the number of uninsured (Shi & Singh, 2015). This controversial healthcare plan incorporates a privately funded insurance which is paid for through employment and solely by the patient and a publicly funded insurance by the government. Medicare is provided for senior citizens 65 and older, and Medicaid is provided for low income citizens. The federal government and state government both partake in the funding of Medicaid. Although insurance is provided to the low income through Medicaid, the United States continues to suffer from cost escalation spending 17.1 percent of GDP on healthcare in 2013, a 50 percent more than the second nation (Commonwealth, n.d.) The high cost and limited coverage continues to spark up the conversation for a