Medicaid and Children’s Health Insurance Program (CHIP) both play a critical role in ensuring that children of dependent families have sufficient health care coverage. It included provisions such as universal coverage and a basic benefit package, health insurance reform, and consumer choice of health plans. [11] This had precedents from earlier in the Clinton administration: a different variant of this approach, dubbed "Kids First", had been envisioned as a backup plan during the original 1993 Task Force on National Health Care Reform meetings. In the wake of President Barack Obama's inauguration and the Democrats' increased majorities in both houses of Congress, legislative leaders moved quickly to break the political stalemate over SCHIP expansion. "Medicaid Expansion & What It Means for You." "Fast Facts." After a conference between the House and Senate, passage in both House (Roll #345: 346-85) and Senate (Roll #209: 85-15) on the conference substitute became more bipartisan. [63], On January 22, 2018, President Trump signed legislation that reauthorized CHIP for six years. Medicaid and the Children's Health Insurance Program (CHIP) provide health coverage for low-income children, families, seniors and people with disabilities. Out of 50 state governors, 43 support SCHIP renewal. Although they are both federal programs largely implemented through the states, with joint financing, the two programs differ in many respects. On January 14, 2009, the House passed H.R. North Dakota currently has the lowest at 175%. [16] Pressure was on to reduce the amount of grants involved, with $16 billion a possible compromise; Hillary Clinton instead argued for $24 billion. The federal government said that 9 out the 17 states that offer benefits to higher-earning families were already compliant. ", "Proposal Favoring SCHIP's Poorest Kids Criticized", "Impact of Medicaid disenrollment on health care use and cost", "The State Children's Health Insurance Program", "Sinking SCHIP: A first step toward stopping the growth of government health programs", "Political posturing obscures the issue Insuring health care for poor children should be highest priority as Congress votes By Rep", "Excerpt of President's Radio Address on SCHIP Legislation", "Bush Vetoes Child Health Bill Privately", "President Bush vetoes child health bill again", "Obama Signs Children's Health Insurance Bill", "Health Groups Hail Increase in Federal Tobacco Taxes", "Senate Passes Health Insurance Bill for Children", "Obama signs kids' health insurance bill", "Primer: The Children's Health Insurance Program (CHIP)", "BREAKING: President Obama Signs SGR Repeal Legislation, Shifting Medicare Physician Payment Incentives", "9 million kids get health insurance under CHIP. [32] With the exception of Alaska, Idaho, North Dakota and Oklahoma, all states have a minimum threshold for coverage at 200% of the federal poverty guidelines. These programs provide health coverage for children so that they can get routine check-ups, immunizations and dental care to keep them healthy. [5], Quickly after his election in 1992, President Bill Clinton assembled a task force to write a comprehensive health reform bill, and he worked with Congress to introduce the Health Security Act (HSA) in November 1993. Kennedy and Hatch had worked together as an "odd couple" in the Senate before, and here Hatch said that "Children are being terribly hurt and perhaps scarred for the rest of their lives" and that "as a nation, as a society, we have a moral responsibility" to provide coverage. On the same day, the bill passed in the Senate, with a substitute amendment, by unanimous consent. [36] The conclusion of the study is that an attempt to cut the costs of a state healthcare program could create a false savings because other government organizations pick up the tab for the children who lose insurance coverage and later need care. The primary goal of CHIP is to expand the reach of government-funded health care coverage to more low-income children. As part of CHIP, the states have simplified the enrollment process, making it easier for children to obtain coverage. [23] The First Lady did not hold news conferences or testify before Congress on behalf of the bill. Health insurance is a type of insurance coverage that pays for medical and surgical expenses that are incurred by the insured. Medicaid has higher minimum comprehensive coverage requirements that include EPSDT services. Separate child health programs typically have different names for their programs. In a 2007 analysis by the Congressional Budget Office, researchers determined that "for every 100 children who gain coverage as a result of SCHIP, there is a corresponding reduction in private coverage of between 25 and 50 children."
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