Advocacy Role Paper

1896 words - 8 pages

The Issue
President Obama signed the Patient Protection and Affordable Care Act on March 23, of 2010 that changed United States healthcare delivery system by making access to healthcare affordable for all Americans. The PPACA requires Americans to have health insurance coverage with the exception to financial hardship, religious objections and American Indians. The health reform will also expand Medicaid and will include the Children’s Health Insurance program (CHIP), also known as (SCHIP) the State Children’s Insurance Program. In 2009, the number of children without insurance was 7.5 million (Estes, Chapman, Dodd, Hollister & Harrington, 2013).The uninsured children varied by factors such ...view middle of the document...

Medicaid covers 10 times as many as children than the SCHIP program.
Jenkins & Faulkner (2002) in 2000, 11 million children did not have insurance coverage. Uninsured children were less likely to receive immunizations or preventive services from Healthcare providers. Uninsured children were more likely to seek care at the last minute and from an emergency department. CHIP has made a difference for many uninsured children, but there are still individuals who qualify for CHIP, who still have no access to healthcare.
According to Nelson et al. (2001), policy makers need to focus in on making the benefits of the CHIP plan comparable to the Medicaid program benefits, the broadening of provider networks and various outreach strategies. Outreach programs should be used to educate families that may be eligible for this program. Many families learn about CHIP from doctors’ offices, clinics and hospitals. Every state needs a screening tool to identify children in need of CHIP.
Tennessee has a Children’s Health Insurance Program that is called Coverkids that is state and federally funded (“Changes to cover”, n.d.). In order to qualify for Coverkids, family incomes must fall below the 250% of the federal poverty level (FPL). For example, a family of four who made approximately $58,000 dollars a year or less would be eligible for this program. There are no premiums with Coverkids; however, there are copays for certain services. All immunizations and preventative services are free of co-pays. Families with incomes greater than 250% of the FPL were able to buy into the program by paying monthly premiums. The new health reform law will now end coverage to those in this program that paid premiums due to the new health exchange marketplace.
All states were given the option to expand Medicaid, or to create a separate Children’s Health Insurance Program. Another option the states had was to have a combination of both Medicaid expansion and a CHIP (“Children’s health” n.d.).The Children’s Insurance Program Reauthorization Act of 2009 was passed to reauthorize and improve the CHIP by authorizing federal funding for children who were eligible for both Medicare and CHIP, but were not enrolled. There was 100 million dollars made available for funding between 2009 and 2013 for the CHIP. The healthcare reform law of 2010 will maintain the CHIP eligibility standards until 2019.
Official’s views on the Issue
The following senators in TN voted yes on the Reauthorization Act of 2009 expanding CHIP: Lamar Alexander, Bob Cooker, Steve Cohen and Jim Cooper. The following senators in TN who voted no on expanding CHIP: Zach Wamp, Marsha Blackburn, Jimmy Duncan and Phil Rowe. The vote was to reauthorize SCHIP through the year of 2013 at increased levels. The vote also involved giving states the option to cover low income pregnant women and to get rid of coverage for non-pregnant childless adults. The argument as a whole to the Yes vote was that the United States...

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