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SCHIP in California Covers Nearly 1.1 Million Children

SCHIP in California Covers Nearly 1.1 Million Children. California’s SCHIP is the biggest in the country: greater than the next 3 largest states combined! What this means: California has done a fabulous job enrolling uninsured children–over 1.3 million (HFP and MC)!!!!!!

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SCHIP in California Covers Nearly 1.1 Million Children

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  1. SCHIP in California Covers Nearly 1.1 Million Children California’s SCHIP is the biggest in the country: greater than the next 3 largest states combined! What this means: • California has done a fabulous job enrolling uninsured children–over 1.3 million (HFP and MC)!!!!!! • California expenditures (and, to some degree, policy) drive the national budget.

  2. SCHIP Reauthorization History • Twice, bipartisan bills were sent to the President: • Vetoed H.R. 976 on October 3, 2007: CHIPRA 1 • Vetoed H.R. 3963 on December 12, 2007: CHIPRA 2 • October 1, 2007 funds expired (Reauthorization fails!) • December 29, 2007 SCHIP funding extension bill signed – Does not change policy – Flat-funds state allotments and adds supplemental funds for 21 shortfall states (including CA) thru March 31, 2009 • February 4, 2009 President Obama signs CHIPRA 3, a 4 ½ year extension of SCHIP

  3. CHIPRA • Adequacy of Federal Funding

  4. Funding California’s CHIP Coverage:What Will it Cost? Harbage Consulting February 17, 2009 Draft Release 2009 Prepared for the California HealthCare Foundation

  5. 6 Background: California’s Title XXI Programs Draft Copy 12/1/2014 Note: HFP includes legal immigrant children and AIM-linked infants. AIM enrolled a total of 12,415 women in SFY 07-08, with an average of 1,035 new mothers enrolling every month.

  6. 7 California’s Overall Estimate Draft Copy 12/1/2014

  7. California’s Overall Federal Need 8 Draft Copy 12/1/2014 $2,193 $1,259 $760 $667

  8. HFP Projected Enrollment 9 Draft Copy 12/1/2014

  9. Access to Full Presentation • Full presentation available at www.mrmib.ca.gov. • One first screen, look to HFP/Federal Issues

  10. Conclusion • Ample federal funding for FFY 2009 and 2010 • Future federal allotments dependent on what states’ have spent (“rebasing”) • It still takes a state dollar to get 2 federal dollars. The state of California has invested significantly in SCHIP, particularly during these difficult fiscal times. It is an incredible challenge to come up with the state match.

  11. CHIPRA 3: Policy Issues • In addition to providing sufficient federal funding for SCHIP, CHIPRA 3 enacted a number of policy and fiscal changes. • A number of these require policy guidance from CMS. • The state will have to amend state law to implement some of them. • Several are in the jurisdiction of Medi-Cal rather than HFP.

  12. Mandates

  13. Mandates (continued)

  14. Mandates (continued)

  15. Mandates (continued)

  16. Other Provisions

  17. Other Provisions (cont.)

  18. Other Provisions (cont.)

  19. State Options

  20. State Options

  21. State Options (continued)

  22. State Options (continued)

  23. State Options (continued)

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