Medicaid and SCHIP play a crucial role in the U.S. health insurance system by providing coverage for more than one in four children. These children are typically from lower income families for whom private plans are often unavailable or unaffordable. During 2005, about 28 million children were on Medicaid and more than 6 million were covered through the State Children’s Health Insurance Program (SCHIP). However, 9.4 million children remain uninsured, and the vast majority of these children are from low and middle income families
From the overview:
The automated process known as the Child Health and Disability Prevention (CHDP) Gateway debuted in 2003 as California’s largest effort to enroll children in health insurance programs. It was an unprecedented experiment that used innovative methods to identify and pre-enroll eligible children into temporary Medi-Cal coverage, and then facilitate their transition into long-term enrollment in Medi-Cal or Healthy Families.
In a report released this spring, the Center for Children and Families (CCF) conducted a nationwide review of state efforts to provide health care coverage to uninsured children. The report, titled “States Moving Forward,” focused on legislation adopted between January 2006 and mid- April 2007, as well as on proposals under serious consideration as of mid-April 2007. In this update, CCF reports on the status of these proposals as of July 20, 2007.
Getting to the Finish Line: a monthly report on federal and state policy issues affecting children’s health
Moving Backward: New Federally Imposed Limits On States’ Ability to Cover Children
From the press release:
The U.S. Department of Labor today released its sixth annual report on the worst forms of child labor in 141 countries and territories that receive U.S. trade benefits.
ILAB prepared the department’s 2006 Findings on the Worst Forms of Child Labor under the child labor reporting requirement of the Trade and Development Act of 2000. The act requires trade-beneficiary countries and territories to implement their international commitments to eliminate the worst forms of child labor.
As defined by the International Labor Organization Convention 182, the worst forms of child labor include any form of slavery, such as forced or indentured child labor; the trafficking of children and the forced recruitment of children for use in armed conflict; child prostitution and pornography; the use of children for illicit activities such as drug trafficking; and work that is likely to harm the health, safety or morals of children.
This report presents information on the nature and extent of the worst forms of child labor in each of the 141 countries and territories and the efforts being made by their governments to eliminate these problems. The bureau’s Office of Child Labor, Forced Labor and Human Trafficking collected data from a wide variety of sources, including U.S. embassies and consulates, foreign governments, nongovernmental organizations and international agencies. In addition, bureau staff conducted field visits to some countries covered in the report.
From the abstract:
We chart U.S. federal spending on investment in total and for children from 1965 to 2017. Five major categories can be considered–some more so than others–to be investment or to have investment components: education and research, work supports, social supports, physical capital, and defense investment. Relative to GDP or domestic spending, we found that total investment and investment in children–under almost any definition–fell over the 1965-2006 period, though with some recent rebounds. More important, projections of current policies show that overall government investment and especially investment in children are threatened to decline in relative and sometimes absolute importance, squeezed out mainly by faster, automatically growing programs that tend to favor consumption. These data raise the question of what relative priority the government should place on investment, and particularly investment in children.
Congress is considering legislation to reauthorize the State Children’s Health Insurance Program (SCHIP), a successful federal health program enjoying bipartisan support that, together with Medicaid, has reduced the proportion and the number of low-income children who are insured by about one third since 1997. On July 19, the Senate Finance Committee approved bipartisan legislation by a 17-4 vote, and two House committees are expected to act shortly thereafter.
The Bush Administration, however, is characterizing the children’s health insurance legislation being developed in Congress as a big-government approach that would pave the way for socialized medicine, do little for low-income children, and primarily shift people with good incomes from private health care coverage to government health insurance at taxpayers’ expense.
From press release:
With the State Children’s Health Insurance Program (SCHIP) set to expire Sept. 30, experts say that unless Congress and the White House reauthorize the program and agree on its funding, coverage for vulnerable children nationwide will be in jeopardy. At risk are millions of children who were covered by SCHIP at some point last year and millions more who are SCHIP-eligible, but not yet enrolled.
According to an analysis of government data released today, more than 6.6 million children were covered by SCHIP at some point last year. Nearly 9 million children remain uninsured. Before adjourning for summer recess last week, the U.S. House of Representatives and the U.S. Senate approved separate SCHIP bills that would provide funding to cover more SCHIP-eligible children. Amidst presidential veto threats, lawmakers from both chambers must now negotiate consensus legislation to send to the White House.
The Health Resources and Services Administration’s Maternal and Child Health Bureau (MCHB) is pleased to present Child Health USA 2006, the 17th annual report on the health status and service needs of America’s children. The Bureau’s vision is that of a future nation in which the right to grow to one’s full potential is universally assured through attention to the comprehensive physical, psychological, and social needs of the maternal and child population. To assess the Bureau’s progress toward achieving this vision, MCHB has compiled this book of secondary data for more than 50 health status and health care indicators. It provides both graphical and textual summaries of relevant data, and addresses longterm trends where applicable and feasible.
All of the data discussed within the text of these pages is from the same sources as the information in the corresponding graphs (unless otherwise noted). Data are presented for the target populations of Title V funding: infants, children, adolescents, children with special health care needs, and women of childbearing age. Child Health USA 2006 addresses health status and health services utilization, as well as insight into the nation’s progress toward the goals set out in the MCHB’s strategic plan—to assure quality of care, eliminate barriers and health disparities, and improve the health infrastructure and systems of care.
Source: Annie E. Casey Foundation, 2007
From the press release:
National trends in child well-being taken together have improved slightly since 2000, according to a report released today by the Annie E. Casey Foundation. The 18th annual KIDS COUNT Data Book indicators show:
● Four areas of improvement: child death rate, teen birth rate, high school dropout rate, teens not in school and not working;
● Two areas of slight improvement: infant mortality rate, teen death rate; and
● Four areas have worsened: low-birthweight babies, children living in families where no parent has fulltime year-round employment, children in poverty, and children in single-parent families.
These national trends are not on par with the well-being improvements that were seen at the end of the 1990s, with economic indicators taking a downturn in 2005. The report also examines America’s child welfare system and challenges the country to make lifelong family connections for children and youth in foster care a national priority.
From press release:
The State Children’s Health Insurance Program (SCHIP) is up for reauthorization, and there appears to be bipartisan support for not just reauthorizing the program but greatly expanding it. Indeed, the legislation may become a vehicle for much of what Congress wants to accomplish in health care this year.
However, SCHIP was intended to be a limited program to help uninsured children from modest- income families — not a huge entitlement covering middle- and upper-middle-income children and hundreds of thousands of adults.
Today, the Council for Affordable Health Insurance (CAHI) released its newest Issues & Answers, “Principles for SCHIP Reform.” The paper identifies key principles that should guide lawmakers in their reauthorization efforts, if they want a financially sustainable program that provides access to quality health care for low- income children.