Covering Kids

January 19, 2012 ***

Matt Jewett Director of Health Policy

Children’s Action Alliance

Children's Action Alliance is an independent voice for Arizona children at the state capitol and in the community.

CAA works to improve children's health, education and security through information and action.

KidsCare • Arizona success story! • Reduced the rate of uninsured AZ kids from

25% to 13% - beginning to inch up again • Enrollment peaked at 66,000 in 2008.

Current enrollment 12,000. • Enrollment freeze effective Jan 1, 2010 –

AZ only state with freeze • 129,000 on “waiting list” • PCH, MIHS, UMC plan to enroll 19,000

KidsCare • Kids in families up to 200% FPL - $44,000

for family of 4 • Premiums $10-$70/month • Must be 3 months without health

insurance - exceptions • Same health plans and benefits as

AHCCCS-Medicaid

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20000

25000

30000

35000

40000

45000

50000

KidsCare Enrollment With Continued Freeze

KidsCare • Brings in $3 federal for every $1 state • Premiums supplement cost • Tied to higher vaccination rates, more well

child doctor visits, fewer missed days of school

Federal, $23.1m

State, $7.5m

Premiums Paid By

Families, $5.4m

KidsCare Funding, FY12

Source: AHCCCS

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5%

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1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Current Population Survey

American Community Survey

Online application made available to public

KidsCare frozen

Uninsured Kids in AZ

AHCCCS • Over 650,000 children in Arizona enrolled

in AHCCCS • Eligibility up to 140% FPL <1 year, 133%

FPL for children age 1-6, 100% FPL for ages 6 +

• Child must be citizen or have 5+ years as legal permanent resident

• Parent’s immigration status not asked if only applying for child

Health Manual • Updated 2011 • Comprehensive list

of health resources for low-income and uninsured families

• Online or hard copy • English or Spanish

Visit www.azchildren.org

Children in Health Reform • Maintenance of Medicaid-CHIP

– CHIP FMAP goes to 99% in FFY2016 • No more exclusions for pre-existing conditions

(already in effect for children, adults in 2014) • Bright Futures recommendations of American

Academy of Pediatrics must be covered • Young adults can stay on parents’ policy until

age 26

Medicaid/ CHIP

51 million People Employer

Coverage 159 million

People

Exchange 24 million

People

Three Legged Stool of U.S. Health Insurance

Who Pays for Medicaid Expansion, 2014-19?

Total $464.7 billion

Arizona Effects of Health Reform • Saved KidsCare, Prop 204-AHCCCS • More federal $ for childless adults starting

in 2014 • Saves state $2.3 billion over 10 years or

costs state $7-11 billion over 10 years • State must set up Exchange • More state oversight of insurance

companies?

Questions?