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School Health Initiatives Midwestern Regional Conference. July 23 – 24, 2008, Indianapolis, Indiana. Health Care + Education = Healthy Communities: Why Schools Fit the Equation. Midwest 101 Children’s Healthcare Across the Region. December 2004. Midwest Region. Illinois Indiana Iowa
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School Health Initiatives Midwestern Regional Conference July 23 – 24, 2008, Indianapolis, Indiana Health Care + Education = Healthy Communities: Why Schools Fit the Equation
Midwest 101 Children’s Healthcare Across the Region December 2004
Midwest Region Illinois Indiana Iowa Kentucky* Michigan Minnesota Nebraska North Dakota Ohio South Dakota Wisconsin December 2004
Importance of Health Coverage • Uninsured Americans are four times more • likely to require avoidable hospitalizations • and emergency hospital care • Uninsured women receive fewer prenatal • services • Uninsured newborns are more likely to have a • low birthweight or to die December 2004
Importance of Health Coverage • Uninsured children are 70% more likely • not to receive care for common • conditions like ear infections • Uninsured children are 30% less likely to • receive medical attention for injuries December 2004
The Uninsured • 8.7 million uninsured children under age 18 are in America (up 11.7% in 2006) • Children in poverty are more likely to be uninsured then the population of all children in 2006 (19.3%) • Midwest has the lowest uninsured rate at 11.4% December 2004
Importance of Health Coverage School Health Programs • The movement began in 1970 • 2004-05 census identified more than • 1709 school-connected centers nationally • SHC’s adapt to meet the age appropriate • needs of students with unique services to • that school and community • Through prevention, early detection and • treatment of health problems, • absenteeism is reduced December 2004
School Health Programs • 80% of programs serve at least one • grade of adolescents • 41% are designated as Title One • schools • 6% are in alternative schools • 42% are in schools with more than 1000 • students December 2004
Illinois Political Environment • Federal legislators supporting Kids/School Health; • State legislation/supporters/ issues; • Election issues
Illinois Children’s Health Coverage: • Medicaid: AllKids • SCHIP Program: AllKids • 200% FPL (no limit) Greatest success regarding children’s health coverage overall
Illinois 53 School Health Center Programs serving 1/3 of all the high schools Illinois Coalition for School Health Center Greatest success: • Youth Advocacy Council; • 3M in the Governor’s budget to start 20 new centers • 3% COLA in FY08 budget
Indiana Political Environment • Federal legislators supporting Kids/School Health; • State legislation/supporters/ issues; • Election issues
Indiana Children’s Health Coverage Overview: • Medicaid Program-Hoosier Healthwise • SCHIP Program-Hoosier Healthwise • 250% FPL Greatest success: • Bipartisan authorization to 300%
Indiana School Health Center Programs: • 88 school based, mobile and linked No coalition or statewide chapter Greatest success regarding school health
Iowa Political Environment • Federal legislators supporting Kids/School Health; • State legislation/supporters/ issues; • Election issues
Iowa Children’s Health Coverage Overview: • Medicaid program: Medicaid • SCHIP Program-Hawk-i • 200% FPL Greatest success regarding children’s health coverage
Iowa School Health Center Programs: • 15 school based, mobile and linked centers No State Association Greatest success regarding school health
Michigan Political Environment • Federal legislators supporting Kids/School Health; • State legislation/supporters/ issues; • Election issues
Michigan Children’s Health Coverage Overview: • Medicaid Program-Healthy Kids • SCHIP Program-MIChild • 200% FPL Greatest success regarding children’s health coverage
Michigan School Health Center Programs: • 86 school based/linked centers serving over 100,000 students School-Community Health Alliance of Michigan Greatest success: • Reimbursement for mental health services
Michigan Greatest success (cont): • Secured 2M in Governor recommended funding • A new Unit within the MDCH on adolescents and school heath services • Additional reimbursement for prevention services
Minnisota Political Environment • Federal legislators supporting Kids/School Health; • State legislation/supporters/ issues; • Election issues
Minnesota Children’s Health Coverage Overview: • Medicaid Program-Medical Assistance • SCHIP Program-No separate program • 275% FPL Greatest success regarding children’s health coverage
Minnesota School Health Center Programs: 21 centers No State Association Greatest success regarding school health
Nebraska Political Environment • Federal legislators supporting Kids/School Health; • State legislation/supporters/ issues; • Election issues
Nebraska Children’s Health Coverage Overview: • Medicaid Program-Kids Connection • SCHIP Program-No separate program • 185% FPL Greatest success regarding children’s health coverage overall
Nebraska School Health Center Programs: 0 centers No State Association Greatest success regarding school health
North Dakota Political Environment • Federal legislators supporting Kids/School Health; • State legislation/supporters/ issues; • Election issues
North Dakota Children’s Health Coverage Overview: • Medicaid Program-Medicaid • SCHIP Program-Healthy Steps • 150% FPL Greatest success regarding children’s health coverage
North Dakota School Health Center Programs: 0 centers No State Association Greatest success regarding school health
Ohio Political Environment • Federal legislators supporting Kids/School Health; • State legislation/supporters/ issues; • Election issues
Ohio Children’s Health Coverage Overview: • Medicaid Program-HealthyStart • SCHIP Program-No separate program • 300% FPL Greatest success regarding children’s health coverage
Ohio School Health Center Programs: • 26 centers that vary based on student need. Some offering mobile units serving several schools Ohio School-Based Health Care Association Greatest success: • Held legislative visits; • Secured sponsor of S. 600
South Dakota Political Environment • Federal legislators supporting Kids/School Health; • State legislation/supporters/ issues; • Election issues
South Dakota Children’s Health Coverage Overview: • Medicaid Program-Medicaid • SCHIP Program-CHIP • 200% FPL Greatest success regarding children’s health coverage
South Dakota School Health Center Programs: • 4 centers No State Association Greatest success regarding school health
Wisconsin Political Environment • Federal legislators supporting Kids/School Health; • State legislation/supporters/ issues; • Election issues
Wisconsin Children’s Health Coverage Overview: • BadgerCare Plus • SCHIP Program-No separate program • 185% Greatest success regarding children’s health coverage
Wisconsin School Health Center Programs: • 16 centers No State Association Greatest success regarding school health