Express lane eligibility

Future of Children

Volumn 13, Issue 1, 2003, Pages 224-229

  Horner, Dawn ^a   Lazarus, Wendy ^a   Morrow, Beth ^b  

^a Children's Partnership ^*

^b National Health Program   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CHILD; CHILD HEALTH CARE; COST EFFECTIVENESS ANALYSIS; HEALTH INSURANCE; HUMAN; IMMIGRATION; LOWEST INCOME GROUP; MEDICAID; PUBLIC HEALTH INSURANCE; REVIEW; ARTICLE; ECONOMICS; HEALTH CARE POLICY; ORGANIZATION AND MANAGEMENT; SCHOOL HEALTH SERVICE; UNITED STATES;

CHILD; CHILD HEALTH SERVICES; ELIGIBILITY DETERMINATION; HEALTH POLICY; HUMANS; INSURANCE, HEALTH; SCHOOL HEALTH SERVICES; UNITED STATES;

EID: 0242272677     PISSN: 10548289     EISSN: 15501558     Source Type: Journal    
DOI: 10.2307/1602652     Document Type: Review

References (12)

1. Dubay, L., Haley, J., and Kenney, G. Children's eligibility for Medicaid and SCHIP: A view from 2000. Washington, DC: Urban Institute, March 2002, series B, no. B-41, p. 3. "Low-income" refers to those with family incomes at or below 200% of the FPL.
2. Kenney, G., and Haley, J. Unpublished data compiled at the Urban Institute. May 2002; Uninsured children and program participation, the U.S., 1999. Unpublished tabulations from the National Survey of America's Families. 1999.
3. Currently, 40 states provide Medicaid or SCHIP to children with family incomes at or above 200% of the FPL. Mann, C. Address to the U.S. Senate Subcommittee on Public Health on "Issues Facing Medicaid and CHIP." Washington, DC. March 12, 2002.
4. The food stamp program covers households with gross incomes up to 130% of the FPL, WIC covers families up to 185% of the FPL, and school lunch covers households with incomes up to 130% of the FPL for free meals and up to 185% of the FPL for reduced-price meals. Horner, D., Morrow, B., and Lazarus, W. Putting express lane eligibility into practice. Washington, DC: Children's Partnership and Kaiser Commission on Medicaid and the Uninsured, November 2000. Available online at http://www.expresslane.info.
5. See note 2, Kenney and Haley. These 3.7 million uninsured children represent 23% of the low-income children receiving school lunch, or 58% of low-income, uninsured children. Urban Institute tabulations also found that 1.3 million low-income, uninsured children participate in WIC (15% of WIC children, 21% of low-income, uninsured children), and 370,000 participate in food stamps (6% of food stamp children, 6% of low-income, uninsured children).
6. The term "express lane eligibility" was coined by The Children's Partnership. See note 3, Horner, et al.
7. For further information about presumptive eligibility, see the article by Klein in this journal issue.
8. Omnibus Budget Reconciliation Act of 1989, Public Law 101-147, 7 CFR § 246.7(d)(2)(vi). 101st Congress, November 10, 1989.
9. Pursuant to federal law, automatic eligibility for Medicaid without a separate Medicaid application exists for Social Security Income (SSI) recipients in some states. 42 CFR § 435.909. Prior to welfare reform, Aid to Families with Dependent Children (AFDC) enrollment also established automatic Medicaid eligibility. Schneider, A., Fennel, K., and Long, P. Medicaid eligibility for families and children. Washington, DC: Kaiser Commission on Medicaid and the Uninsured, September 1998, p. 7.
10. U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services. Continuing the progress: Enrolling and retaining low-income families and children in health coverage. Washington, DC: DHHS, CMMS. August 2001, p. 11.
11. Health Care Financing Administration. Letter to state health and welfare officials. September 21, 2000.
12. For example, see Cohen Ross, D. Enrolling children in health coverage: It can start with school lunch. Washington, DC: Center on Budget and Policy Priorities, January 2001.