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Medicaid Restructuring and Children with Special Health Care Needs

This brief includes state-level data on the share of children with special health care needs covered by Medicaid and describes Medicaid’s role for these nearly five million children to help inform the debate about current proposals in Congress to reduce federal Medicaid funding under a per capita cap or block grant.

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Ten Things to Know About Medicaid’s Role for Children with Behavioral Health Needs

Medicaid currently provides federal matching funds with no pre-set limit to help states cover children with behavioral health needs. Restructuring Medicaid financing as proposed in the American Health Care Act could limit states’ ability to care for these children. The following series of graphics highlights Medicaid’s role for children with behavioral health needs.

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Why Does the Medicaid Debate Matter? National Data and Voices of People with Medicaid Highlight Medicaid’s Role

President Trump and other GOP leaders have called for far-reaching changes to Medicaid, including caps and reductions in federal funding for the program. This snapshot provides data on the role Medicaid plays for different population groups as well as perspectives from individuals with coverage through the program. Medicaid, the nation’s public health insurance program for low-income children, adults, seniors, and people with disabilities, covers 1 in 5 Americans, including many with complex and costly needs for medical care and long-term services. Most people covered by Medicaid would be uninsured or underinsured without it. The AHCA would fundamentally change Medicaid in the most significant restructuring of the program since 1965.

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Next Steps for CHIP: What is at Stake for Children?

The Children’s Health Insurance Program (CHIP) is an important complement to Medicaid, covering 8.4 million children with family incomes above Medicaid eligibility limits who often lack access to affordable private coverage. Following are key facts that highlight what is at stake for children if there is a failure to extend CHIP funding beyond September 2017 and based on changes proposed in the American Health Care Act (AHCA), which would fundamentally restructure Medicaid by capping federal funding and eliminate longstanding federal protections and standards for children.

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Medicaid's Role for Children with Special Health Care Needs

Infographic: Medicaid’s Role for Children with Special Health Care Needs

This infographic highlights Medicaid’s role in covering children with special health care needs and facilitating their access to health care.

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President Trump’s 2018 Budget Proposal Reduces Federal Funding for Coverage of Children in Medicaid and CHIP

This fact sheet reviews proposed changes in coverage for children in Medicaid and CHIP in President Trump’s 2018 budget proposal.

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Key Issues in Children’s Health Coverage

This brief reviews children’s coverage today and examines what is at stake for children’s coverage in upcoming debates around CHIP funding, repeal and replacement of the ACA, and Medicaid restructuring.

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Current Flexibility in Medicaid: An Overview of Federal Standards and State Options

The Trump Administration and new Congress have indicated that they will seek to cap Medicaid financing through a block grant or per capita cap, reduce federal funding for the program, and offer states increased flexibility to manage their programs within this more limited financing structure. The size of the federal reductions as well as which federal program standards would remain in place and what increased flexibility might be provided to states under such proposals would have significant implications. To help inform discussion around increased flexibility, this brief provides an overview of current federal standards and state options in Medicaid and how states have responded to these options in four key areas: eligibility, benefits, premiums and cost sharing, and provider payments and delivery systems.

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The Henry J. Kaiser Family Foundation

Children’s Health Coverage: The Role of Medicaid and CHIP and Issues for the Future

This brief summarizes the role Medicaid and CHIP plays in providing coverage to children, discusses the importance of Medicaid and CHIP for children’s health and well-being, provides an overview of the eligibility for coverage of the remaining uninsured children, and raises issues impacting the future of children’s coverage.

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The Henry J. Kaiser Family Foundation

The U.S. Government and Global Polio Efforts

This fact sheet provides a snapshot of global polio eradication efforts and examines the U.S. government’s role in addressing polio worldwide, including current programs, funding, and key issues.

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Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in Menlo Park, California.