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With No Deal on Children’s Health Plan, U.S. States Scramble for Plan B

Jilian Mincer and Yasmeen Abutaleb  |  December 14, 2017

Oregon expects to run out of federal money before the end of 2017, while Colorado was the first to begin notifying families of a January 31 cutoff in late November.

A third of states expect to exhaust funds by the end of January, and an additional 21 expect to run out by the end of March, according to the Kaiser Family Foundation. More than 1.2 million children are expected to lose health benefits if funding is not restored in 2018.

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“We are spending a ridiculous amount of time and energy trying to kick Congress in the seat of their pants to get this done,” Oregon Governor Kate Brown, a Democrat, said in an interview.

Hospitals Promising Care

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Hospitals have convened emergency meetings to see how they can salvage care for seriously ill patients, and determine their own financial hit from covering more uninsured children, according to interviews with nearly a dozen hospital officials.

“No child should be the pawn of politics,” said Dr. Judy Aschner, physician-in-chief of Children’s Hospital at Montefiore in New York City. “We provide all levels of care to children and their families, regardless of ability to pay, and will continue to do so whatever the outcome for CHIP.”

Denver Health Medical Center sent letters last week to 9,500 patients, encouraging them to schedule exams and refill prescriptions before the deadline. Dr. Meg Tomcho, a pediatrician affiliated with the hospital, plans to work additional shifts and write prescriptions for three months rather than one to accommodate families.

Jill Pidcock of Glenwood Springs, Colorado, scheduled early appointments for her two sons. She and her husband dropped their health insurance a few years ago, and CHIP has made a huge difference, particularly for her 14-year-old, who has autism.

Minoui, of Portland, Oregon, said her 10-month-old daughter may need heart surgery in the coming months.

“It’s hard enough when your child is sick and you’re waiting to see if they can get well, let alone waiting to see if you’re going to be covered,” Minoui said.

State officials have debated when to notify families, hoping that Congress would come through and spare them anxiety. Some must meet state laws requiring 30-day or 60-day advance notice of the program’s shutdown.

Lett, of Dublin, Ohio doesn’t know how she will afford care for her son, Noble, who, because of his complex genetic disorder Prader-Willi Syndrome, requires daily growth hormone injections, numerous doctor visits and multiple therapy sessions each week.

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Filed under:Legislation & Advocacy Tagged with:Children's Health Insurance Program (CHIP)five-year CHIP funding extensionlow-income children

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