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Fact Sheet for CBO's March 2007 Baseline: State Children's Health Insurance Program [i] (February 2007)

handle is hein.congrec/cbo9305 and id is 1 raw text is: Fact Sheet for CBO's March 2007 Baseline: State Children's Health Insurance Program 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2007-12 2007-17 CBO Baseline for Federal SCHIP Payments (Billions of Dollars) Budget authority/ll Outlays Memoranda: Redistributions of unspent funds Remaining unused budget authority, end of year Additional SCHIP spending required to maintain current programs 121131 Medicaid savings from additional SCHIP spending Net federal cost to maintain current SCHIP programs Number of states affected Enrollment under baseline funding levels Children and pregnant women Parents of children enrolled in Medicaid or SCHIP Adults without children Total Enrollment with additional SCHIP funding to maintain current programs Children and pregnant women Parents of children enrolled in Medicaid or SCHIP Adults without children Total Notes: * = fewer than 50,000 enrollees. 4.4 5.0 5.0 5.0 5.0 5.0 5.0 5.0 5.0 5.0 5.0 5.0 30.2 55.4 5.5 5.7 5.4 5.4 5.5 5.5 5.6 5.5 5.3 5.3 5.2 5.1 33.2 59.5 0.2 0.1 0.1 0.1 0.1 0.1 0.1 0.1 0.1 0.1 0.1 0.1 4.6 4.0 3.6 3.2 2.7 2.2 1.7 1.2 1.0 0.7 0.6 0.5 Additional Cost to Maintain Current SCHIP Programs (Billions of Dollars) 0.7 1.5 2.2 2.6 3.3 3.8 4.7 5.8 6.7 7.7 8.9 14.1 47.8 -0.3 -0.6 -0.9 -1.1 -1.4 -1.6 -1.9 -2.3 -2.7 -3.1 -3.5 -5.8 -19.3 0.4 0.9 1.3 1.5 1.9 2.2 2.8 3.4 4.0 4.6 5.3 14 20 23 29 8.3 28.4 34 35 38 39 42 43 43 Enrollment (Millions of People) 141 Avq. annual growth 6.7 6.9 6.4 6.0 5.8 5.5 5.3 4.8 4.2 3.9 3.6 3.3 -3.9% -6.1% 0.5 0.4 0.3 0.3 0.3 0.2 0.2 0.2 0.2 0.2 0.2 0.2 -11.6% -9.5% 0.2 0.1 0.1 0.1 0.1 0.1 0.1 0.1 0.1 -17.8% -12.9% 7.4 7.4 6.8 6.3 6.1 5.8 5.6 5.1 4.4 4.2 3.8 3.5 -4.5% -6.4% 6.7 7.6 7.8 7.8 7.9 8.0 8.1 8.2 8.3 8.4 8.6 8.7 3.3% 2.4% 0.5 0.6 0.6 0.6 0.6 0.6 0.6 0.6 0.6 0.6 0.6 0.6 4.0% 2.8% 0.2 0.1 0.1 0.1 0.1 0.1 0.1 0.1 0.1 0.1 0.1 0.1 -10.1% -5.0% 7.4 8.3 8.4 8.5 8.6 8.7 8.8 8.9 9.0 9.2 9.3 9.4 3.0% 2.3% Ill Title XXI of the Social Security Act authorizes SCHIP through 2007. Consistent with statutory guidelines, CBO assumes in its baseline spending projections that funding for the program in later years will continue at its 2007 level of $5.0 billion. 121 These figures were calculated by taking state projections for spending in 2007 and 2008, adjusting them in later years to account for increases in health spending per enrollee and the projected number of enrollees (due both to population growth and increases in the number of uninsured), and then comparing those spending levels to available funds under baseline assumptions. These calculations assume no change in eligibility rules or benefit packages after 2008. Current SCHIP program funding rules do not immediately target funds to states whose spending exceeds available funding. The added SCHIP spending shown here assumes that program rules would be changed to target the additional funds to the affected states. Without such changes, a greater increase in funding would be needed. /3/ If the objective were to maintain enrollment at 2006 levels and adjust only for future increases in per capita spending, we estimate that the additional SCHIP spending required would total $9.4 billion over the 2007-2012 period and $32.2 billion over the 2007-2017 period. The resulting Medicaid savings would total $3.8 billion over the 2007-2012 period and $12.9 billion over the 2007-2017 period. /4/ These figures represent the total number of individuals who could be covered at any time during the year based on per capita spending amounts for all individuals enrolled at any point during 2006, with adjustments for growth in future years. SCHIP beneficiaries are generally enrolled for only part of the year, so enrollment on an average monthly basis would be about 60 percent of these figures. These figures do not include enrollment in the U.S. territories. Congressional Budget Office February 23, 2007 fiscal year

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