A Proposed Evaluation of the Schip Application Process Essay

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SCHIP Background Between 1987 and 1989, a peak number of uninsured children lacked access to regular health care because their families lacked the means to pay for health service. According to a Health Affairs Organization report, twelve million children had no health insurance coverage (Cartland & Yudkossky, 1993). This 1993 report suggested that an expansion of Medicaid coverage would not decrease the number of uninsured children because of Medicaid’s income eligibility threshold restrictions (Cartland & Yudkossky). Problems persisted prior to federal enactment of State Children Health Insurance Program (SCHIP), approximately 10 million of children across the nation lacked access to health insurance coverage (Smith, 2008). A sizeable portion of these children lived in middle-class families that could not afford private health insurance or from families near or below federal poverty income limits that did not enroll in Medicaid (Smith, 2008). To address the number of uninsured children, Congress enacted a children health insurance scheme that covered children ineligible found ineligible under Medicaid guidelines. As proposed, SCHIP provided a 70 percent federal match rate (Medicaid only provides a 57 percent federal match) to states choosing to enact coverage (Smith, 2008). In 1997, Congress passed SCHIP as an expansion to Title XXI by increasing income eligibility guidelines to Medicaid (Smith, 2008). This program aimed to serve the population of children under 19 years who did not otherwise qualify for Medicaid and to those in families that could not afford private health insurance. Congress approved $40 billion for a period of 10 years to fund this program and address the problem. Since the inception of SCHIP in 1997, the number of eligible children enrolled has increased significantly (Wachino & Weiss, 2009). However, of the remaining 8.9 million currently

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