Health
Insurance For Kids
Background
SCHIP is a
partnership between Congress, the Administration, and the States
working together to improve the lives and health of American children.
The SCHIP program is the most influential improvement in health
care access for children since Medicaid was created in 1965.
In 1997, President
Clinton signed the SCHIP statute, appropriating $24 billion over
five years, beginning in fiscal 1998, to help States provide health
insurance to children in need. The funds cover the cost of insurance,
administration, and outreach services to get children enrolled.
The SCHIP program
was formed because nearly 11 million American childrenone
in sevenare uninsured and therefore are at increased risk
for preventable health problems.
The SCHIP statute,
also known as Title XXI of the Social Security Act, sets the outline
of the programs structure and establishes a partnership between
the Federal and State governments. SCHIP gives States three options
for covering uninsured children:
- designing
a new children's health insurance program
- expanding
current Medicaid programs
- creating
a combination of both strategies
States are
given flexibility in tailoring programs; as a result, each SCHIP
plan is different. States have the opportunity to set eligibility
criteria regarding age, income, resources, and residency within
Federal guidelines.
The Health
Care Financing Administration (HCFA) works to ensure that States
meet the statutory requirements for collecting and reporting financial
and enrollment data. They actively provide technical assistance
to States for analyzing data, evaluating the effectiveness of plans,
and establishing a system to monitor and assure quality in SCHIP
programs. States are required to submit an annual report to HCFA
and to file their own evaluations of their programs in the year
2000. This report was due on March 31, 2000 and the results will
be available by January 2001. The HCFA has posted SCHIP
Preliminary Highlights of Implementation and Expansion.
Since the creation
of SCHIP, all 50 U.S. States, three territories, and three commonwealths
have submitted plans, received approval from the Health Care Financing
Administration (HCFA), and started implementation.
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