Anticipated Effects of the Children’s Health Insurance Program (CHIP) in Illinois

1. Anticipated Effects of the Children’s Health Insurance Program (CHIP) in Illinois Kathy Chan, Policy Director Metropolitan Family Services Friday, March 6, 2009

2. Illinois Maternal and Child Health Coalition • Mission is to improve the health of women, infants, children and families • Through policy development, education – provider and consumer, advocacy, and community empowerment • Issues: health care for all, school health centers, immunizations, reducing maternal and infant mortality

3. Covering Kids and Families Illinois • RWJF grant • 1999 through June 2006 • Back-to-School, Faith, Health and Unity • Toolkits • Advocacy efforts – legislative and administrative

4. State of children’s health coverage in IL • All Kids since July 2006 • Enrollment • Simplifications

5. Brief history of CHIP • 1997 Balanced Budget Act • Block grant • State flexibility • Covered populations • Coverage package • Previous attempts for reauthorization • Temporary extension

6. HR2: Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA) • Similar to CHIPRA legislation from previous Congress • Additional flexibility, tools and incentives • September 2013

7. Funding • $69 billion over 4 ½ years • $.62/pack increase in cigarette tax • CHIP federal match, block grant remains the same • “Use it or lose” it timeframe reduced • Allocation formula • Contingency fund

8. Funding – Illinois specific • Illinois - $344.9 million in FY09, increase of 73%

9. Enrollment • 7 million currently enrolled • Additional 4.1 million by 2013 • Performance bonuses • Exceed Medicaid enrollment target • Implement 5 of 8 best practices • 12-month continuous eligibility • No asset test • No face-to-face interview • Joint Medicaid/CHIP application • Automatic/administrative renewal • Presumptive eligibility • Express lane eligibility • Premium assistance

10. Enrollment – Illinois specific • All Kids enrollment • Current best practices • Will we meet Medicaid enrollment targets?

11. Eligibility • Full CHIP match up to 300% • Above 300% will be lower Medicaid match • Cit/doc requirements will apply to CHIP Oct 09 • Premium assistance • ICHIA provisions included* • Phase-out of adult coverage

12. Eligibility – Illinois specific • Match for All Kids enrollees 200-300% FPL • Cit/doc - Presently, no negative action for children • No anticipated effect on All Kids Premium (134-200% FPL) • Illinois already covered LPRs with less than five years of residency, but state-only funds • No effect on FamilyCare (Medicaid)

13. Outreach • $100 million for grants • $10 million national campaign • $10 million specific to Native Americans • $80 to state and local organizations through HHS

14. Outreach – Illinois specific • Covering Kids and Families coalition model • National CKF Network • Congressional delegation and HHS

15. Other provisions • At least 75% match for outreach and interpretation services • Required dental benefit with baseline services • Dental wrap-around coverage • Mental health parity • Recognition of school health centers • New quality measures, health IT/EMRs, preventing childhood obesity, MEDPAC

16. Conclusions • First step toward comprehensive health care reform • Reality of state budget deficits • Great plan – what about implementation?

17. Questions?

18. Contact Information Illinois Maternal & Child Health Coalition Kathy Chan Policy Director 312-491-8161x24 kchan@ilmaternal.org www.ilmaternal.org