Beruflich Dokumente
Kultur Dokumente
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Unless otherwise cited, all information
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Kaiser Family Foundation. “Summary of 15
Center for Children and Families. “Early Wins
contained in this brief is based on the authors’ Coverage Provisions in the Patient Protection and for Children and Families in Health Care
analysis of the Patient Protection and Affordable Affordable Care Act.” Menlo Park, CA and Reform.” Washington, DC: Georgetown
Care Act (PL 111-148). Washington, DC: Kaiser Family Foundation, University Health Policy Institute, 2010.
2010.
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Institute of Medicine. “America’s Uninsured The regulations are available at
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Crisis: Consequences for Health and Health If an employee has an ESI offer with a http://edocket.access.gpo.gov/2010/2010-
Care.” Washington, DC: National Academy of contribution requirement that is 9.5 percent of 15278.htm. Earlier, several large insurers had
Sciences, 2009 and McMorrow, Stacey. “Will the income or less, the worker and their family agreed to comply with the Administration’s
Patient Protection and Affordability Act Improve members are generally not eligible for subsidies interpretation of this provision (Pear, R. “Insurers
Health Outcomes for Individuals and Families?” in the exchange, even if their income would to Comply with Rules on Children.” New York
Urban Institute Policy Brief. June 2010. otherwise make them eligible. However, if the Times 30 Mar 2010.)
actuarial value of the plan the employer offers is
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Kenney, G., A. Cook, and L. Dubay. “Progress less than 60 percent, the family can access 17
Alonso-Zaldivar, R. “Some Insurers Stop
Enrolling Children in Medicaid/CHIP: Who Is exchange subsidies if they are income eligible Writing New Coverage for Kids.” Associated
Left and What Are the Prospects for Covering (100 to 400 percent of the FPL). Press 24 July 2010.
More Children?” Washington, DC: Urban
Institute, 2009.
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Dubay, L. and G. Kenney. “Expanding Public 18
The maintenance of effort requirements for
Health Insurance to Parents: Effects on state Medicaid programs require that states
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Kenney, G., A. Cook, and L. Dubay. “Progress Children’s Coverage Under Medicaid.” Health continue to cover children in Medicaid through
Enrolling Children in Medicaid/CHIP: Who Is Services Research 38(5): 1283-1301, 2003; 2019 at the eligibility level in effect when the law
Left and What Are the Prospects for Covering Davidoff, A., L. Dubay, G. Kenney, and A. was enacted. This requirement applies to children
More Children?” Washington, DC: Urban Yemane. “The Effect of Parents’ Insurance in both Title XIX Medicaid and Title XXI
Institute, 2009. Coverage on Access to Care for Low-Income Medicaid expansion CHIP programs. See
Children.” Inquiry 40:254-268, 2003. Georgetown Center for Children and Families
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Kenney, G. and A. Cook. “Potential Impacts of and Center for Budget and Policy Priorities.
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Alternative Health Care Reform Proposals on Urban Institute tabulations of the 2009 ASEC “Holding the Line on Medicaid and CHIP: Key
Children with Medicaid and CHIP Coverage.” Supplement to the CPS. Questions and Answers About Health Care
Washington, DC: Urban Institute, 2010. Reform’s Maintenance of Effort Requirements.”
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Cook, A., L. Dubay, and B. Garrett. “How Will Washington, DC: Georgetown University Health
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Hudson, J.L. “Families with Mixed Eligibility Uninsured Parents Be Affected by Health Policy Institute, 2010.
for Public Coverage: Navigating Medicaid, CHIP, Reform?” Washington, DC: Urban Institute,
and Uninsurance.” Health Affairs 2009; 28(4): 2009. 19
Wang, E., M. Choe, J. Meara, and J. Koempel.
w697-w709. “Inequality of Access to Surgical Specialty
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Annual limits will be completely prohibited Health Care: Why Children with Government-
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Most Medicaid-eligible children and their beginning in 2014. The definition of Funded Insurance Have Less Access Than Those
parents will not be subject to penalties associated “unreasonable” during the pre-2014 period is With Private Insurance in Southern California.”
with lack of coverage due to their incomes. detailed in regulations. The regulations are Pediatrics 2004; 114(5): e584-e590; Mayer, M.,
However, the presence of a requirement to obtain available at: A.C. Skinner, and R. Slifkin. “Unmet Need for
coverage is expected to increase participation in http://edocket.access.gpo.gov/2010/2010- Routine and Specialty Care: Data from the
insurance programs none-the-less. 15278.htm National Survey of Children with Special Health
Care Needs.” Pediatrics 2004;113;e109-e115;
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Center for Children and Families. “Summary of Mofidi, M., G. Rozier, and R. King. “Problems
Medicaid, CHIP, and Low-Income Provisions in with Access to Dental Care for Medicaid-Insured
Health Care Reform.” Washington, DC: Children: What Caregivers Think.” American
Georgetown University Health Policy Institute, Journal of Public Health 2002; 92(1): 53-58.
2010; Kaiser Family Foundation. “Medicaid and
Children’s Health Insurance Program Provisions
in the New Health Reform Law.” Menlo Park,
CA and Washington, DC: Kaiser Family
Foundation, 2010.
This research was funded by the Robert Wood Johnson Foundation. The authors would like to thank Linda Blumberg,
Allison Cook, Stan Dorn, John Holahan and Steve Zuckerman for their helpful comments and suggestions.