Medicaid

Much has changed since the 2019 State of Children's Health Coverage Report. Over the past five years, we have made significant strides at the local and federal health policy levels shaping access to healthcare for children in our state.

The journey has been up and down, from the pandemic's unprecedented challenges to Medicaid's unwinding. Yet, we've remained inspired by the work that can be done when community members, state leaders, and organizations come together to advocate for and implement policies that prioritize children's health and well-being.

Our new publication provides a detailed overview of these developments and highlights our organization's efforts to ensure all children in Utah have access to healthcare coverage and care so they can grow, thrive, and reach their full potential.

Our publication covers: 

  • Utah Children's Access to Healthcare Coverage: We examine current challenges and barriers, along with the factors influencing access to care.
  • Efforts to Expand Coverage: We share initiatives and community events we have co-hosted to increase Medicaid and CHIP enrollment.
  • Policy Landscape: We explore changes in Utah's healthcare policies from 2019-2014 and the impacts of these policies on Utah children and families.

We are thankful to our partners, fellow advocates, and community, who have all played a crucial role in this journey and remain committed to making Utah a state that is good for ALL kids.

DOWNLOAD A COPY

 


The Journey Ahead

Over the next year and beyond, we remain committed to achieving health coverage for all Utah kids. Despite ongoing attacks on the Medicaid program, we remain steadfast in safeguarding its integrity and accessibility for all Utahns. Our goals include expanding access to coverage through strategic investment, enhancement, and simplification of the Medicaid and CHIP programs.

  • Invest: Invest in the community-based organizations that are best positioned to assist with Medicaid and CHIP enrollment and renewals by easing the complicated processes for eligible community members. The investment must include funding for targeted outreach and education in geographic areas with high rates of uninsured children. 
  • Enhance: Enhance language access by establishing translation and interpretation standards for the Departments of Health and Human Services and the Department of Workforce Services, focused on Utah's top ten most common non-English languages.
  • Simplify: Reduce burdens and barriers to family application and renewal procedures by implementing substantive changes to the state’s system for approving new applications and renewals, such as adopting the ex-parte renewal process utilized during the Medicaid “unwinding” for ongoing use.

Since 2019, the journey has been both challenging and rewarding. We celebrate our achievements and remain committed to creating a bold path forward for children's health coverage in Utah. We are excited about the opportunities that the next five years will bring and invite you to join the journey by committing to ensuring all children have access to coverage.

Join our coalition today!

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Governor Cox unveiled his budget last week, and the general direction of the budget is positive. Voices for Utah Children is interested in some specific components of the budget that directly impact Utah children and their families:

Public Education

$854 million increase, including a 5% jump in per-pupil funding and $55 million for rural schools

This is a much-needed investment in public education. We support the focus on rural schools and are anxious to see the details as they emerge. Public education consistently polls as a top priority for Utahns of all political parties and backgrounds.

Support for Utah Families

 $4.7 million to expand Utah’s child tax credit and $5 million for accessible child care

We appreciate the fact that the Governor has begun to address the urgent needs of Utah families with young children. However, both allocations fall far short of the amount required to truly support and elevate these young families’ current needs. A truly impactful child tax credit would require an investment of at least $130 million, and the benefits in reducing child poverty in Utah would be substantial. Our recent report on child care in Utah clearly illustrates the need for bold action to support families in the workforce, who are struggling with the cost and unavailability of child care. The Governor’s $5M project will help very few Utah families and does not address the true need.

Housing

$128 million for homeless shelters and $30 million for deeply affordable housing

We support the Governor in his effort to better support the homeless residents of our state. We encourage a greater focus on expanding support for homeless children specifically. Early care and education opportunities for young children as well as more supportive programs for their parents and caregivers are critical to helping families find stable housing and better future opportunities. Investing in deeply affordable housing will help many Utah families.

Behavioral/Mental Health 

$8 million for behavioral and mental health

This is not enough to address the current mental health needs of Utahns – in particular, those of our children and the folks tasked with raising them. We need more mental health professionals and greater access to services. We know this is a major concern for the Governor and we encourage increased strategic investment in this area.

It is also important to acknowledge and applaud some items the Governor wisely left out of his proposed budget:

No Proposed Tax Cuts 

Utahns want to see more invested in our children while they are young, to prevent greater challenges later in life. It is our children who suffer most, when politicians toss our tax dollars away on polices that mostly benefit the wealthiest 1% of Utah households.

No Proposed Funding for Vouchers

Public funds should not be redirected to private entities. Utah needs an annual audit of the current program, to assess who is benefitting from school vouchers. In other states, the results are not good – vouchers are looking more and more like a tax break for wealthy families.


Bold Investments Needed for Utah's Children

Governor Cox's budget focuses on increasing funding for education, families, and affordable housing.

These are all areas where we believe bold investment is needed. We support the Governor in addressing these issues, but cannot overlook how this budget falls short in the face of the ongoing struggles faced by Utah families with children.  

We encourage our Legislature to use the Governor’s budget as a roadmap and increase the allocations to the amount needed.

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Wednesday, October 4, 2023

Voices for Utah Children is proud to have co-hosted the momentous unveiling of the new State CHIP Program during our morning press conference. We are grateful to have worked with Senator Luz Escamilla (D-Salt Lake City) and Representative Jim Dunnigan (R-Taylorsville) to support the passage of SB217: ChIldren’s Health Coverage Amendments that led to the creation of this program.

Voices for Utah Children's goal for every child in Utah to have health insurance and access to high-quality health care.

In our state, an estimated 7.9% of children in Utah do not have health insurance, with greater disparities amongst rural children and Latino children, placing Utah as 37th in the nation for insured children.

The State CHIP program will play a crucial role in bridging this gap by providing comprehensive healthcare coverage, so that children can access the medical care they need when they need to lead a healthier and more secure life. 

This State CHIP Program is one piece of that puzzle.

The State CHIP program provides newly eligible children with comprehensive healthcare coverage, including well-child exams, immunizations, doctor visits, prescriptions, mental health services, and more, supporting more kids to have the opportunity to grow and thrive because of the access to coverage.

We are excited to continue working with Senator Escamilla, Rep. Jim Dunnnigan, and our 100% Kids Coverage Coalition, community and faith leaders, healthcare systems and providers, and more to outreach to all of our Utah families throughout the state so children get the health coverage and care they need. We know that this program will make a positive impact on many Utah families statewide and will get us closer to the goal of having all Utah kids covered.

Let’s get all Utah kiddos covered!

For more information about State CHIP for non-US citizens starting January 1, 2024 click here.

For more information about the new State CHIP program visit: https://chip.health.utah.gov/.

For more information about our 100% Kids Coverage Coalition visit: https://www.100percentkids.health/.

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Families living with health insurance, and without: New storybook highlights why all Utah children need health insurance

Throughout the pandemic, health insurance has been a critical lifeline for Utah families to stay healthy and avoid medical debt. Yet many Utah children and parents are still unable to access any form of health insurance; they are denied coverage due to their immigration status. A new digital storybook, released by Voices for Utah Children, highlights families’ real-life experiences with health insurance and medical care. The stories reveal how having health insurance- or not having it- can alter a child’s life course.

The digital book is a collection of accounts shared by children, parents and caregivers across Utah. To protect the privacy and sensitive material shared, names were changed. The book includes accounts of children growing up without health insurance; the short and long-term positive impact of CHIP and Medicaid for children; immigrants and asylees finding the care they need; and children being denied care due to immigration status, while their siblings born in the United States can access care.

The storybook humanizes a problem that is often ignored: today in Utah, thousands of Utah children are still shut out of health coverage. As one DACA- recipient recounts in the book, growing up her families was “Too scared of the cost to go to the ER.”

However, there are glimpses of hope on the horizon. In the 2022 General Session, the Utah Legislature considered a bill that would allow all income-eligible children to enroll in Medicaid or CHIP, regardless of their background or immigration status. The bill, sponsored by Senator Luz Escamilla and Representative Mike Schultz, passed the Senate with broad support, but ran out of time in the House.

The book lifts up the stories behind the 2022 legislation. Previous reports from Voices for Utah Children have estimated the significant state savings if all children have coverage. The digital storybook shows the emotional, physical and financial costs families pay when their children are denied health insurance, and the life-changing benefits when families are able to get coverage.

Download Storybook Today!

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This Session, one of Voices for Utah Children’s top priority bills received very little public attention despite its behind-the-scenes activity. Below we will unpack what happened, lessons we learned, and what we believe the path forward should be so we can reach 100% Kids Coverage in Utah.

First a little background, during the 2021 Legislative Session, we were thrilled to see many statements in support of children’s health insurance coverage. Speaker Wilson highlighted children’s coverage and Utah’s high rate of uninsured kids during his opening Session remarks and supported funding for CHIP outreach. On the Senate side, Senator Escamilla championed a bill to Cover All Kids, which former House Leader, Representative Gibson, sponsored on the House side. While the bill did not make it through in the final days of the Session, it seemed well-positioned to pass in 2022.

Onto 2022…

This year Senator Luz Escamilla ran Senate Bill 185. Like her bill last year, SB 185 ensured all Utah children could get covered and stay covered by allowing income -eligible Utah children access to Medicaid and CHIP, regardless of immigration status. In addition, SB 185 restored funding for continuous eligibility for Medicaid children. Senator Escamilla skillfully navigated SB 185, with approval from the Senate Revenue and Taxation Committee and broad support on the Senate floor. On the House side, Majority Leader, Representative Mike Schultz, stepped up as the House Sponsor to usher the bill across the finish line. But unfortunately, the bill was never brought to the full floor for a vote in the House.

So what happened this year?

Although SB 185 made it out of the Senate with little objections or pushback, it ran into obstacles in the House. The bill arrived in the House without enough time for a committee hearing. While it could have gone through without one, members of the House did not have the full time to discuss and familiarize themselves with the bill and work through question or concerns.  Although the bill never came to the floor for a full vote, it did have strong bipartisan support. Cover All Kids got even closer this year, but still fell short.

Going forward, we must discuss any questions or concerns directly. We invite lawmakers to join us in having honest conversations about the children we are leaving behind in our state, the children we are deciding not to cover. All children growing up in Utah need health insurance to thrive, regardless of their immigration status. To deny some children access to health care is unconscionable.

It is time we amplify the many voices, the stories, the statewide energy and support for Covering All Kids.  Lawmakers are ready; Utahns are ready. It’s time we act to Cover All Kids.

Learn more about the stories and join our campaign at https://www.100percentkids.health/take-action

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