SCHIP Votes in House and Senate Critical to Ohio Budget
Last night the House of Representatives, ignoring a veto threat by President Bush, voted 225-204 to reauthorize and pump another $50 billion into the popular ten-year-old SCHIP program, which allows children of the working poor (above the poverty line, but unable to afford private insurance) to enroll in Medicaid. The ceiling for eligibility would be raised from 200% to 300% of the federal definition of poverty. The money would come partly from slashing Medicare payments to HMOs under the Medicare Advantage program, which Democrats say has resulted in massive overpayments, and increased taxes on tobacco products. It is estimated that the change would increase the number of children participating in SCHIP from 5 million to 11 million. In Ohio, all seven Democrats voted in favor and all 11 Republicans voted against.
Passage of the SCHIP expansion is critical to provisions in the state budget proposed by Gov. Ted Strickland (D) and passed overwhelmingly by the General Assembly. Strickland sent a letter to Ohio's Congressional delegation on July 18th, pointing out that "more than 145,000 children in Ohio currently receive health care services under SCHIP, totaling $290 million per year" in combined state and federal funding. Without "adequate federal funding in the SCHIP reauthorization bill," Ohio will "likely experience shortfalls of $6.8 million in federal fiscal year 2008 and $98.6 million in federal fiscal year 2009." Moreover, the recently passed biennial budget "includes an expansion of SCHIP coverage to children in families with incomes between 200 percent and 300 percent of the federal poverty level," which is "expected to provide health coverage for 20,000 additional Ohio children." That provision is dependent on passage of the expansion by Congress.
Republicans appear to be banking on opposition by seniors (a reliable voting bloc) to the cutting of Medicare payments to HMOs as cover for opposing expansion of the popular program. They also insist that the expansion of SCHIP coverage is a step toward government-run national health care or "socialized medicine." Advocates for children's health applaud the expansion of coverage to families who could not otherwise obtain health insurance for their children.
If Bush follows through on his veto threat, Congress will presumably take up the matter of reauthorizing the program again before it expires on September 30th.
Labels: Medicaid, Medicare, Public Health





