Navigation Links
UNC study: Access to state children's health insurance programs vital to disabled children
Date:1/22/2009

CHAPEL HILL The proposed federal expansion of the State Children's Health Insurance Program should help improve disabled children's access to services, but more needs to be done at the state level to meet their needs, according to a new study from the University of North Carolina at Chapel Hill.

Susan Parish, an assistant professor at the UNC School of Social Work and the study's lead author, found that families raising children with disabilities are particularly struggling to get services in states where qualifications for the public health insurance program widely known as "SCHIP" are less generous, meaning that they earn too much to qualify for the insurance program based on their state's income limits.

According to the research, this includes families whose household income is less than three times the poverty level.

Others less likely to receive needed support services include parents who speak limited English, children who are uninsured and children with severe impairments.

Nationwide, some 12 million children have special health care needs, said Parish, who has conducted extensive research on children with disabilities and their families.

"The evidence is compelling and overwhelmingly confirms the need to expand and strengthen health insurance coverage for children with disabilities and their families," she said. "Without assistance, families face high out-of-pocket costs. The tangible support provided by the SCHIP program materially influences the supports a family receives."

The findings coincide with moves by Congress to approve a bill that would add more than $30 billion over almost five years to the public health insurance program. If the measure is approved and signed into law by President Obama, coverage would expand to more than 10 million children, including many with disabilities who are now ineligible.

However, what isn't clear is how the proposed SCHIP expansion would affect each state-run health insurance program, Parish said. Local and federal dollars pay for the programs, and states decide how each works, including how much families can earn before their children are ineligible.

Some states are more generous than others, Parish noted. In Tennessee and Arkansas, for example, children are ineligible for state health insurance if their family's household income exceeds the poverty level or $21,200 for a family of four. In New Jersey, however, a child qualifies as long as their family's income isn't more than three- and-a-half times the poverty level or $74,200. In North Carolina, the eligibility rate is 200 percent of the poverty level or about $42,400 for a family of four.

Furthermore, some states spend more local dollars to ensure that a broader group of children are covered.

"The bottom line is we need some form of affordable health insurance for all children, regardless of their disabilities, which would go a long way toward solving these problems," said Parish.

The study, published this month in the journal "Children and Youth Services Review," examined data for nearly 39,000 children from the 2002 National Survey of Children with Special Health Care Needs.

Parish said there is an even greater need to improve access to services for children with disabilities because many of their families already face severe financial hardships. She released a study late last year that found that families across all income levels who are raising disabled children are significantly more challenged by food, housing and health issues compared to families without disabled children.

Parish added that families in states with more generous subsidies and eligibility requirements are more likely to have better access to a professional care coordinator a vital resource, she said, for finding needed services, providing resource referrals and advocating for children with disabilities.

"This care coordinator is really seen as the linchpin to whether a child gets everything he or she needs," she said.

SCHIP, which was created in 1997, covers about six million children whose families cannot afford private insurance but earn too much to qualify for Medicaid. In 2007, Congress passed bipartisan bills that would have expanded the program's funding by $35 billion over five years, but President Bush vetoed the legislation twice.


'/>"/>

Contact: Patric Lane
patric_lane@unc.edu
919-962-8596
University of North Carolina at Chapel Hill
Source:Eurekalert

Related medicine news :

1. U of M study: Early treatment can reverse heart damage
2. New study: Pine bark reduces perimenopausal symptoms
3. U of M study: Health food supplement may curb addiction of pathological gamblers
4. New study: Pine bark extract reduces ADHD symptoms in children
5. Kaiser Permanente study: Alcohol amount, not type -- wine, beer, liquor -- triggers breast cancer
6. UGA study: Youth exposed to smokeless tobacco ads despite settlement
7. New National Medicaid Study: Minnesota Under Funds Seniors Nursing Home Care $167 Million Annually
8. Study: Modafinil is effective in treating excessive sleepiness
9. Breaking Study: Masimo Pleth Variability Index (PVI) Shown Effective in Noninvasive Detection of Changes in Ventricular Preload and Fluid Volume
10. New study: pine bark extract boosts nitric oxide production
11. Study: HPV test beats Pap in detecting cervical cancer
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/24/2016)... ... 2016 , ... Marcy was in a crisis. Her son James, eight, was out of control. ... and physically. , “When something upset him, he couldn’t control his emotions,” remembers Marcy. ... rocks at my other children and say he was going to kill them. If ...
(Date:6/24/2016)... CA (PRWEB) , ... June 24, 2016 , ... ... is now offering micro-osteoperforation for accelerated orthodontic treatment. Dr. Cheng has extensive experience ... Damon brackets , AcceleDent, and accelerated osteogenic orthodontics. , Micro-osteoperforation is ...
(Date:6/24/2016)... (PRWEB) , ... June 24, 2016 , ... People across ... in Genome magazine’s Code Talker Award, an essay contest in which patients and their ... award to be presented at the 2016 National Society of Genetic Counselors (NSGC) Annual ...
(Date:6/24/2016)... ... June 24, 2016 , ... Puradigm® & Innovative ... has initiated cultivation and processing operations at its production facility, and opened its ... Puradigm is the manufacturer of a complete system of proactive air and surface ...
(Date:6/24/2016)... ... 2016 , ... Venture Construction Group (VCG) sponsors Luke’s Wings ... at the Woodmont Country Club at 1201 Rockville Pike, Rockville, Maryland, 20852. The ... members that have been wounded in battle and their families. Venture Construction Group is ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... SOUTH SAN FRANCISCO, Calif. , June 24, ... GBT ), a biopharmaceutical company developing novel ... with significant unmet needs, today announced the closing ... 6,400,000 shares of common stock, at the public ... the shares in the offering were offered by ...
(Date:6/24/2016)... , June 24, 2016 The Academy ... of recommendations that would allow biopharmaceutical companies ... with entities that make formulary and coverage decisions, a ... "value" of new medicines. The recommendations address ... not appear on the drug label, a prohibition that ...
(Date:6/24/2016)... 24, 2016 According to a ... (Standard Pen Needles, Safety Pen Needles), Needle Length (4mm, ... Hormone), Mode of Purchase (Retail, Non-Retail) - Trends & ... studies the market for the forecast period of 2016 ... 2.81 Billion by 2021 from USD 1.65 Billion in ...
Breaking Medicine Technology: