Are We Nearing the Finish Line Yet?: The State of Play in Children ’ s Coverage

1. Are We Nearing the Finish Line Yet?:The State of Play in Children’s Coverage Increasing Enrollment: It Still Takes Advocacy, Outreach, Simplification and Technology

2. There is No Silver Bullet • Sustained outreach • Simplified procedures • Streamlined policies • Supportive leadership • Systems that work • Sufficient funding and most of all….. • Savvy advocacy

3. But Success is Sweet (and Achievable!)

4. Key Policy Facts 300% FPL Eligibility ALL Immigrant Children 12-mo Continuous Eligibility SSA Cit-Doc Match Online Application with E-Signature Administrative Verification of Income Online Renewals (not yet “my account”) Telephone Renewals 2.8% Uninsured Children 57,842 - 3.4% Source: 2010 Washington Population Survey

5. Key Policy Facts 300% FPL Eligibility Lawfully Residing Immigrant Children Buy-In Program 12-mo Continuous Eligibility Express Lane Eligibility SSA Cit-Doc Match Online Application with Electronic Signature Telephone Renewals 6.3% Uninsured Children 48,521 – 5.6% Source: 2011 Oregon Household Survey

6. Key Policy Facts 250% FPL Eligibility 12-mo Continuous Eligibility – CHIP only (Medicaid in 2013) Presumptive Eligibility SSA Cit-Doc Match * Administrative Verification of Income * Online Application with E-Signature * Telephone Renewals 11.4% Uninsured Children 124,128 – 10.1% Source: 2010 American Community Survey

7. Key Policy Facts 300% FPL Eligibility Lawfully Residing Immigrant Children Express Lane Eligibility SSA Cit-Doc Match Administrative Verification of Income Online Application with E-Signature 2.4% Uninsured Children 74,779 – 5.3% Source: 2009 Small Area Health Insurance Estimates (SAHIE)