Addressing coverage gaps for low-income parents

Health Affairs

Volumn 23, Issue 2, 2004, Pages 225-234

  Dubay, Lisa ^a   Kenney, Genevieve ^b  

^a URBAN INSTITUTE   (United States)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; HEALTH INSURANCE; HUMAN; LOWEST INCOME GROUP; MEDICAID; PARENT; POVERTY;

EID: 1842679253     PISSN: 02782715     EISSN: None     Source Type: Journal    
DOI: 10.1377/hlthaff.23.2.225     Document Type: Article

References (33)

1. J. Lambrew, Health Insurance: A Family Affair, A National Profile and State-by-State Analysis of Uninsured Parents and Their Children (New York: Commonwealth Fund, 2001).
2. L. Dubay and G. Kenney, Covering Parents through Medicaid and SCHIP: Potential Benefits to Low-Income Parents and Children (Washington: Kaiser Commission on Medicaid and the Uninsured, October 2001).
3. Centers for Medicare and Medicaid Services, "State Children's Health Insurance Program (SCHIP) Aggregate Enrollment Statistics for the Fifty States and the District of Columbia for Federal Fiscal Years (FFY) 2000 and 1999" (Chart), www.cms.hhs.gov/schip/enrollment/fy99-00.pdf (15 December 2003).
4. See Dubay and Kenney, Covering Parents through Medicaid and SCHIP.
5. M. Krebs-Carter and J. Holahan, "State Strategies for Covering Uninsured Adults," Assessing the New Federalism Discussion Paper no. 00-02 (Washington: Urban Institute, 2000) ; and E. Howell et al., "Early Experience with Covering Parents under SCHIP," Assessing the New Federalism Policy Brief no. A-51 (Washington: Urban Institute, 2002).
6. M. Krebs-Carter and J. Holahan, "State Strategies for Covering Uninsured Adults," Assessing the New Federalism Discussion Paper no. 00-02 (Washington: Urban Institute, 2000) ; and E. Howell et al., "Early Experience with Covering Parents under SCHIP," Assessing the New Federalism Policy Brief no. A-51 (Washington: Urban Institute, 2002).
7. Families USA, Go Directly to Work, Do Not Collect Health Insurance: Low-Income Parents Lose Medicaid (Washington: Families USA, 2000).
8. See G. Kenney et al., "The National Survey of America's Families: An Overview of the Health Policy Component," Inquiry 36, no. 3 (1999): 353-362, for more detail on the survey. Parents with children age eighteen and older are not included in this analysis. The part of this exclusion that is potentially relevant involves parents of eighteen-year-olds who do not have younger children.
9. These thirteen states are Alabama, California, Colorado, Florida, Massachusetts, Michigan, Minnesota, Mississippi, New Jersey, New York, Texas, Washington, and Wisconsin.
10. For more information on the simulation model, see Dubay and Kenney, Covering Parents through Medicaid and SCHIP.
11. Ibid., for a discussion of how legal status was imputed.
12. The majority of states could cover these parents through Medicaid using Section 1931 provisions; the remaining states would need to equalize their Title XIX standards for children to cover all of these parents or obtain a SCHIP or HIFA waiver. By 2002 all states could cover parents up to 100 percent of poverty under Medicaid's Section 1931 authority. For a full discussion, see L. Dubay, G. Kenney, and S. Zuckerman, "Extending Medicaid to Parents: An Incremental Strategy for Reducing the Number of Uninsured," Assessing the New Federalism Policy Brief no. B-20 (Washington: Urban Institute, 2000).
13. V.K. Smith, D.M. Rousseau, and J.A. Guyer, "CHIP Program Enrollment: December 2000," September 2001, www.kff.org/Medicaid/4005-index.cfm (15 December 2003).
14. G.M. Kenney, J. Haley, and S. Blumberg, Awareness and Perceptions of Medicaid and SCHIP Programs among Low-Income Families with Uninsured Children: Findings from Early 2001 (Washington: U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation, 2002); G.M. Kenney, J. Haley, and L. Dubay, "How Familiar Are Low-Income Parents with Medicaid and SCHIP?" Assessing the New Federalism Policy Brief no. B-34 (Washington: Urban Institute, 2001); and G.M. Kenney and J. Haley, "Why Aren't More Uninsured Children Enrolled in Medicaid or SCHIP?" Assessing the New Federalism Policy Brief no. B-35 (Washington: Urban Institute, 2001).
15. G.M. Kenney, J. Haley, and S. Blumberg, Awareness and Perceptions of Medicaid and SCHIP Programs among Low-Income Families with Uninsured Children: Findings from Early 2001 (Washington: U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation, 2002); G.M. Kenney, J. Haley, and L. Dubay, "How Familiar Are Low-Income Parents with Medicaid and SCHIP?" Assessing the New Federalism Policy Brief no. B-34 (Washington: Urban Institute, 2001); and G.M. Kenney and J. Haley, "Why Aren't More Uninsured Children Enrolled in Medicaid or SCHIP?" Assessing the New Federalism Policy Brief no. B-35 (Washington: Urban Institute, 2001).
16. G.M. Kenney, J. Haley, and S. Blumberg, Awareness and Perceptions of Medicaid and SCHIP Programs among Low-Income Families with Uninsured Children: Findings from Early 2001 (Washington: U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation, 2002); G.M. Kenney, J. Haley, and L. Dubay, "How Familiar Are Low-Income Parents with Medicaid and SCHIP?" Assessing the New Federalism Policy Brief no. B-34 (Washington: Urban Institute, 2001); and G.M. Kenney and J. Haley, "Why Aren't More Uninsured Children Enrolled in Medicaid or SCHIP?" Assessing the New Federalism Policy Brief no. B-35 (Washington: Urban Institute, 2001).
17. See Kenney et al., Awareness and Perceptions of Medicaid and SCHIP.
18. This analysis examines access and use measures for uninsured parents whose children are eligible for Medicaid or SCHIP. The point estimates for these measures were very similar when we examined the subset of uninsured parents whose children are already enrolled in Medicaid or SCHIP.
19. A Davidoff et al., "The Effects of Parents' Insurance Coverage on Access to Care for Low-Income Children," Inquiry 40, no. 3 (2003): 254-268; and L. Dubay and G. Kenney, "Expanding Health Insurance Coverage to Parents: Effects on Children's Coverage under Medicaid," Health Services Research 38, no. 5 (2003): 1283-1302.
20. A Davidoff et al., "The Effects of Parents' Insurance Coverage on Access to Care for Low-Income Children," Inquiry 40, no. 3 (2003): 254-268; and L. Dubay and G. Kenney, "Expanding Health Insurance Coverage to Parents: Effects on Children's Coverage under Medicaid," Health Services Research 38, no. 5 (2003): 1283-1302.
21. See Dubay et al., "Extending Medicaid to Parents."
22. E. Neuschler and R. Curtis, "Premium Assistance: What Works? What Doesn't?" (Washington: Institute for Health Policy Solutions, 2003); and M. McClellan and K. Baicker, "Reducing Uninsurance through the Nongroup Market: Health Insurance Credits and Purchasing Groups," Health Affairs, 23 October 2002, content.healthaffairs.org/cgi/content/abstract/hlthaff.w2.363 (15 December 2003).
23. E. Neuschler and R. Curtis, "Premium Assistance: What Works? What Doesn't?" (Washington: Institute for Health Policy Solutions, 2003); and M. McClellan and K. Baicker, "Reducing Uninsurance through the Nongroup Market: Health Insurance Credits and Purchasing Groups," Health Affairs, 23 October 2002, content.healthaffairs.org/cgi/content/abstract/hlthaff.w2.363 (15 December 2003).
24. Kenney and Haley, "Why Aren't More Children Enrolled in Medicaid or SCHIP?"; and Kenney et al., "How Familiar Are Low-Income Parents with Medicaid and SCHIP?"
25. Kenney and Haley, "Why Aren't More Children Enrolled in Medicaid or SCHIP?"; and Kenney et al., "How Familiar Are Low-Income Parents with Medicaid and SCHIP?"
26. Lake Snell Perry and Associates, Barriers to Medi-Cal Enrollment and Ideas for Improving Enrollment: Findings from Eight Focus Groups with Parents of Potentially Eligible Children (Menlo Park, Calif.: Henry J. Kaiser Family Foundation, 1998).
27. J. Guyer and C. Mann, Taking the Next Steps: States Can Now Take Advantage of Federal Medicaid Matching Funds to Expand Health Care Coverage to Low-Income Working Parents (Washington: Center on Budget Priorities, 1998); and "Scully Says Increased Federal Funds for States' Medicaid Programs Unlikely," Kaiser Daily Health Policy Report, 16 July 2002, www.kaisernetwork.org/daily_reports/rep_index.cfm?DR_ID=12341 (15 December 2003).
28. J. Guyer and C. Mann, Taking the Next Steps: States Can Now Take Advantage of Federal Medicaid Matching Funds to Expand Health Care Coverage to Low-Income Working Parents (Washington: Center on Budget Priorities, 1998); and "Scully Says Increased Federal Funds for States' Medicaid Programs Unlikely," Kaiser Daily Health Policy Report, 16 July 2002, www.kaisernetwork.org/daily_reports/rep_index.cfm?DR_ID=12341 (15 December 2003).
29. Howell et al., "Early Experience with Covering Parents under SCHIP."
30. J. Holahan and M. Pohl, "Modeling Expansion of Public Health Insurance Programs," Urban Institute Working Paper (Washington: Urban Institute, 2003).
31. L. Dubay, C. Moylan, and T. Oliver, "Covering the Uninsured: Can States Take the Lead?" Journal of Law and Health Care Policy (forthcoming); and J. Holahan, A. Weil, and J. Wiener, Federalism and Health Policy (Washington: Urban Institute, 2003).
32. L. Dubay, C. Moylan, and T. Oliver, "Covering the Uninsured: Can States Take the Lead?" Journal of Law and Health Care Policy (forthcoming); and J. Holahan, A. Weil, and J. Wiener, Federalism and Health Policy (Washington: Urban Institute, 2003).
33. Institute of Medicine, Hidden Costs, Value Lost: Uninsurance in America (Washington: National Academies Press, 2003).