Monday, August 20, 2007

Bush Administration Adopts New Standards Limiting CHIP

The New York Times reports that the Bush Administration has set new income policies for the Children's Health Insurance Program (prior posts here, here and here).   

The poverty level for a family of four is set by the federal government at $20,650 in annual income. Many states have received federal permission to cover children with family incomes exceeding twice the poverty level — $41,300 for a family of four. In New York, which covers children up to 250 percent of the poverty level, the Legislature has passed a bill that would raise the limit to 400 percent— $82,600 for a family of four — but the change is subject to federal approval.

California wants to increase its income limit to 300 percent of the poverty level, from 250 percent. Pennsylvania recently raised its limit to 300 percent, from 200 percent. New Jersey has had a limit of 350 percent for more than five years. 

. . .

The new Bush Administration policy essentially prohibits such adjustments.   Under the new Bush Administration policy, states must show that they have “enrolled at least 95 percent of children in the state below 200 percent of the federal poverty level” who are eligible for either Medicaid or the child health program before making such changes to the poverty level limit.  According to deputy New York State Health Department Commissioner Deborah S. Bachrach, “No state in the nation has a participation rate of 95 percent.” 

And Cindy Mann, a research professor at the Health Policy Institute of Georgetown University, said, “No state would ever achieve that level of participation under the president’s budget proposals.”

- SBS

http://lawprofessors.typepad.com/tortsprof/2007/08/bush-administra.html

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