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Health reform dump poor children?

Oleta Fitzgerald, director of the Children's Defense Fund's Southern Regional Office, she says of the well- Mississippi children is affected when one of the two health care reform package by the U.S. House of Representatives and the Senate than ever into law.

The House passed HR 3962 earlier this month, and Democrats made in the Senate, the danger of a Republican filibuster suggest a couple of weeks, so the Senate to promote debate on patient safety and affordable care Act, HR 3590th Both bills promise major reforms in health and Health Insurance industry. The Association of American Medical Colleges, that almost 15 million People became newly eligible for Medicaid and the Children's Health Insurance Program under HR 3590, an estimated cost of 374 billion U.S. dollars over 10 years.

Fitzgerald says both bills contain huge holes in terms of CHIP coverage for Mississippi children: "At the moment, the fight for health reform in the House of Representatives Senate and lost everything on abortion and the public option, but the children get into this discussion, "Fitzgerald said.

The question, she said, focused unconventional request to Mississippi for CHIP eligibility.

Many countries recently expanded their Medicaid program needs to accept people are a little further out of the federal budget standard for poverty. Eleven states recently CHIP-eligible family incomes up to 200 percent of the federal poverty level or higher extended. ($ 20,800 for an individual or $ 35,200 for a family of three).

But instead of expanding Medicaid, Mississippi set a new program, the Health Insurance Contracts with private insurance. The states expanded Medicaid will continue federal support for the programs both in the bills under discussion received in the House and the Senate. But in Mississippi, all children and their families over 150 percent of Federal Poverty budget limit (16,245 U.S. dollars each year for an individual and $ 27,465 per year for a family of three) would create an insurance policy in exchange of the House and Senate bills. The bill will CHIP-eligible Children placed in an exchange by the year 2019 while the House Bill has entrusted to them by 2013.

Insurance exchange does not promise the reliability a government health program warns Fitzgerald.

"They went in the exchange could require co-payments and premiums, the children were thrown into a pot get in with adults, and it is not clear which requirements of the insurance companies would have their benefit packages, "she said.

There is The question of permanence. Exchanges, such as proposed by the House and Senate bills are not always permanent. Texas, Florida, North Carolina and California tried all and failed to provide permanent insurance exchange, especially because private insurers manipulated the market.

A July report by the California HealthCare Foundation issued tried some of the factors locate California insurance exchange, which closed its doors in 2006 killed. According to the report, the California exchange too expensive when the customer it was too expensive now. An exchange requires certain number of healthy people, the more sickly complement participants exchange customer base, because the cost of participation too high for all other participants.

But insurance companies in California lured customers with lower premiums and healthy steered the more sickly individuals in the exchange, creating a disproportionately expensive customer base.

"The people involved in operations of the California Exchange agreed that if there is a competition for the same customers within and outside the exchange, sharing in "extreme danger", a victim of adverse Selection, "the report said." If an exchange is attracting a disproportionate share of higher risk individuals and groups such as the exchange to various California Times, it is not so good. "

Fitzgerald said Mississippi zeal to boot CHIP-eligible children from the program to keep state costs is another Factor makes the new bills.

"Another problem is the enrollment. We need to simplify the registration in the exchange, as the enrollment to have in the state health programs, a history of being anything but easy in Mississippi, "said Fitzgerald, referring to a Medicaid policy championed by Republican Governor Haley Barbour, the Medicaid recipients required to meet Medicaid staff viewed "face-to-face program for renewal be.

CDF is working with its national office in trying an amendment in the Senate, although Democratic Sens. Robert Casey Bill and Jay Rockefeller, the Keep all children would be up to 300 percent of the federal poverty level in the CHIP program, until the new insurance exchange thoroughly reviewed.

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House Session 2011-03-01 (16:16:40-17:17:09)