Fw: Child Health Information Project Listserv

ICAN! America (icanamerica@email.msn.com)
Tue, 28 Dec 1999 07:10:08 -0500


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       Child Health Information Project Listserv
                Children's Defense Fund
                   December 13, 1999
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KAISER FAMILIY FOUNDATION: MEDICAID AND WELFARE REFORM:
STATES' USE OF THE $500 MILLION FEDERAL FUND

Prepared by the Institute for Health Services Research
and Policy Studies at Northwestern University.

This report reviews how states have responded to the
$500 million federal fund created by the federal
welfare reform legislation in 1996 to help states
maintain Medicaid coverage for individuals affected by
welfare reform. State Medicaid officials were asked
whether they have drawn down federal funds from the
$500 million fund; to describe the factors that
influenced their decision; and what activities
they are supporting with the additional federal
monies. The paper describes the current status of the
$500 million fund and highlights how states are using
this new funding.

The Kaiser Familiy Foundation press release:
http://www.kff.org/content/1999/2174/
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CBPP: "CONGRESS LIFTS THE SUNSET ON THE $500 MILLION
FUND"

This paper explains how the $500 million fund --created
by the federal welfare reform legislation in 1996 to
help states maintain Medicaid coverage for individuals
affected by welfare reform-- can be used, providing
specific examples from several states. It also includes
state-specific information on how much money remains in
each state's allocation and the total amount of federal
funds available, presuming states use their entire
allocations.

The elimination of the time limits on states access to
the $500 million fund gives states a new chance to
take advantage of a key resource available to reverse
the decline in Medicaid enrollment among eligible
children and their parents.

Examples included in this paper highlight that states'
efforts to implement delinking can encompass a broad
range of outreach and enrollment activities. Procedures
to prevent welfare changes from causing parents and
children to lose health coverage inappropriately, and
intensive outreach activities, are needed to reverse
declines in states' Medicaid caseloads. Taking
aggressive steps to correct this disturbing trend is
integral to overall efforts to reduce the number of
uninsured children.

To review a copy of the paper, visit The Center on
Budget and Policy Priorities Website at:
http://www.cbpp.org/12-1-99wel.htm
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NCSL: ISSUE BRIEF ON SERVICE DELIVERY ISSUES IN
SCHIP

A recent issue brief by the National Conference of
State Legislatures (NCSL) examines how states are
addressing service delivery issues under SCHIP. In the
spring 1999, the NCSL conducted a survey of 26 states
that have separate state programs or combination plans.

"Implementing the State Children's Health Insurance
Program: Will Service Delivery Needs be Adequately
Met?" can be ordered from the NCSL for $15 per copy. To
order call 303/ 830-2054 and request Item #6757.
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HRSA: "IMPLEMENTATION OF THE STATE CHILDREN'S HEALTH
INSURANCE PROGRAM: OUTREACH, ENROLLMENT & PROVIDER
PARTICIPATION IN RURAL AREAS"

A recent publication by Project HOPE Center for Rural
Health Analysis examines the implementation of SCHIP
programs in rural communities. This report provides a
qualitative assessment of SCHIP's progress in enrolling
and providing services to children living in rural
areas in Colorado, Kansas, Oklahoma, Pennsylvania, and
West Virginia. Outreach, enrollment and provider issues
are presented from interviews with a range of state and
county level informants, county enrollment data, and
states' SCHIP plans.

Free copies are available by calling
301/656-7401 ext 261.The report can be accessed at
http://www.projhope.org/CHA/rural/WCreport.htm
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TOBACCO SETTLEMENT FUNDS ON THEIR WAY TO STATES

State Highlight: Indiana Governor Frank O'Bannon Using
Tobacco Funds to Boost Health and Reduce Smoking

On November 12, 1999 the national tobacco settlement
reached another significant milestone.  The tobacco
settlement, announced last November, reached final
approval status.  The agreement completed a legal
process and is now court approved in a majority of the
states.  The money states have known was coming is now
officially on its way to state treasuries. Recall that
tobacco payments will total about $206 billion over the
first 25 years nationwide.

Indiana Governor Frank O'Bannon and Attorney General
Jeff Modisett announced recently that all of Indiana's
$4.2 billion share of the tobacco settlement should go
to improve Hoosier's health.  O'Bannon plans to get
public input and work with state legislators to come up
with the best plan about how to spend the tobacco money
to prevent future health problems.

Governor O'Bannon's core principles in determing how to
divide tobacco funds include: 1) to prevent and reduce
smoking, especially among kids; 2) to ensure that all
Hoosiers have better access to quality health care; 3)
to make health care more available to underserved areas
and low-income individuals; 4) to research more
effective treatments and cures for tobacco related
diseases, and 5) to address special health care needs
of
populations who suffer most from tobacco related
diseases.

The tobacco settlement provides states an historic
opportunity to make a significant investment in a
better future for children by investing in programs
that promote their health and well being.  It is time
to turn the tables on an industry that has gone out of
its way to harm children.  Help us help others -- Let
us know what your state is doing with tobacco
settlement money so that we can share ideas about
what's working and what is not with others that may be
engaged in this debate in their state.

Contact Laura Hessburg with information about what your
state is doing: by phone at 202-662-3564; by fax at
202-662-3550; or through email at
lhessburg@childrensdefense.org
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CHILD CARE AND HEALTH INSURANCE OUTREACH:
INFORMATION SEARCH

On November 19, 1999, the Child Health Information
Project Listserv highlighted a local child health
outreach project initiated by the Children's Defense
Fund-Ohio.  We are now looking for information about
what is happening in the states with innovative
programs that link the child care community with
efforts to help enroll children in health insurance
programs.

When it comes to child development, child care
providers understand how important a child's health is
to learning.  Child care providers have established
trusting relationships with the families and children
they care for, and are in an ideal position to reach
out to families to enroll them in Medicaid or a State
Health Insurance Programs (S-CHIP).

How is the child care community in your part of the
country becoming involved in outreach and enrollment
for Medicaid or S-CHIP?  What types of creative
strategies are Head Start programs, child care centers,
after school programs, family and home-based child care
and resource and referral agencies using to help
identify and enroll eligible, uninsured children in
health insurance programs?

In addition, many child care provider's own children
 do not have health insurance.  Low teaching
salaries make health insurance unaffordable for them in
the absence of employer-based coverage.  What types of
outreach efforts are occurring to help find and enroll
these children in health insurance programs?

Please send pertinent information about how your child
care community is reaching out to help eligible,
uninsured children enroll in Medicaid or S-CHIP to:

Lisa Frank
Children's Defense Fund
25 E Street NW
Washington, DC 20001
lfrank@childrensdefense.org
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