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HEHS-96-50R 1 (1995-10-20)

handle is hein.gao/gaobackze0001 and id is 1 raw text is: O United States General Accounting Office Washington, D.C. 20548 Health, Education and Human Services Division B-270239 October 20, 1995 The Honorable Christopher J. Dodd Ranking Minority Member Subcommittee on Children and Families Committee on Labor and Human Resources United States Senate Dear Senator Dodd: Medicaid is the primary source of health insurance for poor children in the United States, covering 13.7 millon children in 1993. Current proposals to transform Medicaid from an open-ended entitlement program to a block grant to states would cap federal funding to states and remove most federal requirements that guarantee children eligibility and coverage for specific services. To respond to your concerns about the impact of proposed Medicaid changes on children, we prepared this correspondence, which summarizes facts from a report we issued previously on the health insurance status of children and one we will be issuing soon.' Specifically, you asked us to describe (1) recent trends in children's health insurance coverage, particularly for children in working families, and Medicaid's impact on such coverage; (2) the degree to which states expanded coverage for children beyond federal requirements and the percentage of the states' children who are uninsured or are on Medicaid; (3) the requirements for which changes are proposed in the current bills before the Congress, particularly provisions 'The first study analyzed the March 1990 and 1994 U.S. Bureau of the Census' March Supplement of the Current Population Surveys (CPS) for information on children and their health insurance status before and after the federally mandated expansion of children's Medicaid eligibility. The results of this first study were reported in Health Insurance for Children: Many Remain Uninsured Despite Medicaid Expansion (GAO/HEHS-95-175, July 19, 1995) and Uninsured and Children on Medicaid (GAO/HEHS-95-83R, Feb. 14, 1995). The second study is a case study on state and privately funded programs to provide health insurance for children who lack coverage. We plan to issue a report on this second study soon. GAO/HEHS-96-50R Medicaid and Children's Insurance

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