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High Costs, Low Incomes and SCHIP Reauthorization
Where Should Eligibility Thresholds be Set?
Published: January 12, 2009
With discussions on the State Children’s Health Insurance Program’s (SCHIP) reauthorization expected soon, important policy questions are being raised about who will be covered. A new Urban Institute analysis compares current costs of living and costs of employer-sponsored insurance (ESI) with figures from a decade ago.
The authors suggest that while a family income ceiling of 200 percent of the federal poverty level (FPL) might have been reasonable in many states when SCHIP was created in 1997, that may not be the case today. This seems particularly true in high cost-of-living areas, given the large increases in health care premiums relative to much smaller changes in the federal poverty level over the past decade.
In fact, the analysis finds that ESI premiums now consume a higher share of income for families at 300 percent of FPL than they did for families at 200 percent of FPL in 1996.
The authors say that unless cost containment strategies are implemented, budgetary pressures on public programs will keep increasing.
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Assessing the Impact of Covering Kids & Families
Publication date:
November 26, 2007
Summary:
Preliminary results from the evaluation of Covering Kids & Families shed light on its operations and the environment in which it aims to create social change.
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Sommers AS, Dubay L, Blumberg LJ, Blavin FE and Czajka JL
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August 2007
Summary:
Two-thirds of children in the United States were income-eligible for Medicaid or the State Children's Health Insurance Program (SCHIP) at some point from 1996 to 2000. One in five children was income-eligible for both programs and 73 percent of children ever...
Do Individual Mandates Matter?
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Blumberg LJ and Holahan J
Publication date:
January 30, 2008
Summary:
In this Urban Institute analysis, health economists contend that it is not possible to achieve universal coverage without an individual mandate.
Health Coverage Tax Credits: A Small Program Offering Large Policy Lessons
By:
Dorn S
Publication date:
Feb 5, 2008
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This Urban Institute policy brief analyzes how current tax credits can be restructured to reach more workers who qualify and how future tax credits could be designed to serve millions of uninsured Americans more effectively.
The Failure of SCHIP Reauthorization: What Next?
By:
Kenney G
Publication date:
March 18, 2008
Summary:
In this issue brief, the Urban Institute reflects on important House and Senate compromises that resulted in passage of a bipartisan bill to expand SCHIP in 2007, only to repeatedly face President Bush's veto pen. SCHIP was ultimately extended through March 2009, but...
Health Insurance Coverage of Young Adults
Publication date:
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An Urban Institute analysis looks at why young adults, accounting for 28 percent of America's uninsured population, are disproportionately uninsured and what policies could address their coverage gaps.
SCHIP Reauthorization: How Will Low-Income Kids Benefit Under House and Senate Bills?
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Kenney G, Cook A and Pelletier J
Publication date:
September 18, 2007
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This policy brief discusses findings from empirical work examining the likely income distribution of children who would gain and/or retain health insurance coverage through the proposed Senate and House SCHIP bills.
Eligible But Not Enrolled: How SCHIP Reauthorization Can Help
By:
Dorn S and The Urban Institute
Publication date:
September 29, 2007
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According to an analysis from the Urban Institute, SCHIP reauthorization could give states the flexibility to draw on lessons from strategies recently developed by Medicare for providing Medicaid and SCHIP to eligible low-income kids.
