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FOR
IMMEDIATE RELEASE
11/3/2006
Back
HISTORIC 'COVER ALL KIDS' LEGISLATION
SIGNED INTO LAW
Pennsylvania becomes one of six
states to offer healthcare access to all uninsured children.
PITTSBURGH
— Through the enactment of the 'Cover All Kids' initiative, Pennsylvania
becomes one of six states to make sure that every child has health care
coverage.
Under Cover All
Kids, parents will be able to afford to insure their children because
the monthly premiums will be based on family income. Currently, the
Children's' Health Insurance Program –known as CHIP – is free for
children from families with annual incomes under $40,000 (family of four
– 200 percent of the federal poverty level) and available at a reduced
cost for children from families with incomes up to $47,000 (family of
four - 200 percent - 235 percent of FPL).
Under Cover All Kids, 100 percent of the parents who currently cannot
afford to insure their children will get assistance from the state to
ensure that the cost of health insurance for their children is
reasonable.
Under the new law, the approximate monthly cost for parents is based on
a sliding scale:
-
$36 a month per
child for a family earning 200 percent – 250 percent of FPL (under
$50,000 for a family of four)
-
$50 a month per
child for a family earning 250 percent -275 percent of FPL ($50,000-
$55,000 for a family of four)
-
$57 a month per
child for a family earning 275 percent - 300 percent of FPL
($55,000-$60,000 for a family of four)
-
Families that
cannot find or afford private health insurance for their children
who are earning above 300 percent of the FPL ($60,000 a year for a
family of four) can purchase the coverage at the state cost, based
on certain eligibility requirements. These families must show that
coverage was denied due to a pre-existing condition, or that the
cost of private coverage totals more than 10 percent of the family's
annual income, or that the cost of private insurance is one and a
half times (150 percent) more than the state monthly per child cost
for Cover All Kids.
If parents can buy
employer-sponsored coverage for their children but cannot afford the
full premium, the state will help the family to pay the premiums for
private insurance, rather than enrolling the child in CHIP – if the cost
of private coverage is lower.
To discourage parents from canceling private coverage to take advantage
of the state subsidy, Cover All Kids has a waiting period that requires
families show that their child has not had coverage for the last six
months, unless the child is two years of age or less. The so-called "go
bare" period is not required for infants, for children who have lost
coverage because a parent lost a job or for kids who are moving from
another public insurance program.
The 2006-07 state budget includes $4.5 million for Cover All Kids, which
will be used to draw down additional federal funds. The bill signed
today allows the state to step up outreach for existing programs for
children, such as CHIP and Medicaid (MA), to ensure every qualified
child is enrolled.
Pennsylvania's CHIP
program is one of the most successful children's health insurance
programs in the nation, covering a record 148,355 children during
October. CHIP was created under legislation signed in late 1992 by
Governor Robert P. Casey. The program served as a model for a federal
CHIP program enacted by President Bill Clinton in 1997.
More information on
the CHIP program can be found at
www.chipcoverspakids.com or by calling 1-800-986-KIDS.
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