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  • SCHIP Reauthorization: Key Questions in the Debate – A Description of New Administrative Guidance and the House and Senate Proposals – Issue Brief

    Issue Brief

    SCHIP Reauthorization: Key Questions in the Debate – A Description of New Administrative Guidance and the House and Senate Proposals The U.S. Senate and the House of Representatives have approved legislation to reauthorize the State Children's Health Insurance Program (SCHIP), which covers six million low-income children today. With the release of the Census health coverage numbers, this updated brief answers key questions that explain the ongoing policy debate about this public health coverage program, which…

  • Learning From History: Deinstitutionalization of People with Mental Illness As Precursor to Long-Term Care Reform

    Report

    This report examines what policy lessons can be learned from the deinstitutionalization of people with mental illnesses and applied to potential long-term care reform for the elderly or those with significant disabilities. The study assesses the reforms that took place under deinstitutionalization, their impact and what mistakes were made. It also discusses the take-away lessons for long-term care policy, with a focus on planning, financing, living situations and the role of families, workplace issues, and…

  • A Race to the Top: Illinois’s All Kids Initiative

    Report

    A Race to the Top: Illinois’s All Kids Initiative In the summer of 2006, Illinois launched All Kids, the nation’s first universal coverage program for children. Several states have observed Illinois’ experience and are proceeding with their own coverage initiatives. This case study of Illinois' All Kids initiative describes the key features of the program, examines state decisions on program design and highlights some early program experiences. Report (.pdf)

  • Making Sense of Recent Estimates of Eligible but Uninsured Children

    Issue Brief

    As Congress reauthorizes the State Children’s Health Insurance Program (SCHIP), accurate estimates of the number of children who are eligible for Medicaid and SCHIP but remain uninsured are critical for policy and budget development. The Congressional Budget Office (CBO) concluded that there are between 5 and 6 million children who are uninsured and eligible for Medicaid and SCHIP. CBO’s assessment is in sharp contrast to estimates released recently by the Bush Administration that indicating there…

  • Medicaid’s Rehabilitation Services Option:  Overview and Current Policy Issues

    Issue Brief

    Medicaid’s Rehabilitation Services Option: Overview and Current Policy Issues In 2007, the President reintroduced a plan to place new restrictions on the types of services allowable under the Medicaid rehabilitation services option (called the rehab option) to yield federal budget savings of $2.29 billion over the next five years. Currently, 47 states plus the District of Columbia provide at least some type of mental health, substance abuse, and physical health services under the rehab option.…

  • Health Care in New Orleans from the People’s Perspective

    Event

    Diane Rowland, executive vice president of Kaiser, testified to the House Energy and Commerce Subcommittee on Oversight and Investigation about the health care needs of New Orleans' residents and their access to health services in the area. Her testimony was a part of the hearing, "Post-Katrina Health Care in the New Orleans Region: Progress and Continuing Concerns, Part II." Testimony (.pdf)

  • Health Challenges for the People of New Orleans

    Poll Finding

    Health Challenges for the People of New Orleans This analysis of a household survey of Greater New Orleans area residents conducted in Fall 2006 examines the health care status of the adult population and details their health coverage and access to health care services after the disaster. News Release Full Report (.pdf) Executive Summary (.pdf) Health Status (.pdf) Health Coverage and Access (.pdf) Households with Children (.pdf) Appendices (.pdf)

  • Louisiana’s Proposed Section 1115 Medicaid Demonstration Project: Estimating the Numbers of Uninsured and Projected Medicaid Costs

    Issue Brief

    This brief analyzes the composition and medical costs of the uninsured in Louisiana after Hurricane Katrina. The estimates in the brief are the first available that are based on a detailed analysis of who the uninsured are in Louisiana, their current medical spending, and what their spending might be under Medicaid. The findings show that expanding Medicaid coverage to Louisiana's uninsured would cost an estimated $2.3 billion in 2006 dollars. It also suggests that many…

  • Changes in Characteristics, Needs, and Payment for Care of Elderly Nursing Home Residents: 1999 to 2004

    Report

    The proportion of elderly adults over age 65 in nursing homes has declined over the past two decades, most noticeably in recent years. Reasons suggested for this trend include reductions in disability rates among elderly people, improvements in mechanisms for coping with disability, and changes in the residential and long-term care options available to elderly people with disabilities. This report focuses on the characteristics, needs, and payment sources for the care of elderly nursing home…

  • Massachusetts Health Care Reform Plan – An Update

    Fact Sheet

    Massachusetts' law to cover their uninsured population combines an individual mandate on the purchase of health insurance with government subsidies to ensure affordability. Full implementation of the plan is expected by July 1, 2007. This fact sheet summarizes the plan and its implications. Fact Sheet (.pdf)