Health

It’s been a busy end-of-year for Utah kids’ health coverage, from ACA open enrollment to full Medicaid expansion (almost!). Here’s what’s been going on and what lies ahead in 2020...

Where are Utah kids going??

At the last Utah Medicaid Advisory Committee meeting, we learned that 398 children dis-enrolled from Medicaid and CHIP in October. While this is better than the 2,637 who lost coverage the previous month (no, that’s not a typo), the question remains: Where are these kids going?? Are they moving over to the private insurance market? Or are they uninsured? Unfortunately, we still don’t know.

American Community Survey data suggest lower income children are the most likely to be uninsured in Utah. However, we do not have good real-time data to track why Utah kids are dis-enrolling from Medicaid or CHIP at such an unprecedented rate.

Reasons for this coverage loss may include red tape and confusion about children’s health insurance options, and federal anti-immigrant hostilities creating a climate of fear for many families. But again, our best data has a one-year lag time. It is critical we make sure kids are getting connected with health insurance now. We know from research that when kids go uninsured it has a negative impact on their life trajectory.

We commend our state agencies for their attention to this issue; we urge them to survey families who recently lost coverage so that we can make sure kids are getting covered and staying covered.

Full Medicaid expansion*… coming soon to Utah?

In November, the Utah Department of Health submitted its “fallback” waiver request to fully expand Medicaid! On December 7^th, the federal comment period closed. THANK YOU to the over 4,800 people who submitted federal and state comments.

We now await federal approval for Utah to enact full Medicaid expansion. It’s been a long, complicated road, but we just might get there. Find out if you’re eligible for Medicaid.

*Unfortunately, this is not exactly the expansion Utahns voted for. Our state is tacking on harmful work requirements, premiums, surcharges and red tape to Medicaid coverage for the newly eligible. These added requirements will make it harder for Utah parents and children to get care. If approved, we will work hard to prevent these provisions from causing families to lose the coverage and care they need.

Have a story to share about how Medicaid coverage will make a difference in your life? Share your story here.

Open Enrollment: Last Day to Apply is December 15^th!

In need of health insurance for you or your family? Call 2-1-1 or visit TakeCareUtah.org to learn more about the health insurance marketplace.

What’s coming up in 2020?

We are excited to see many opportunities- big and small- to help Utah kids and parents get connected with health insurance in 2020:

• Expanded texting support to help kids and families connect with coverage, thanks to an exciting new campaign through United Way of Salt Lake.
• Medicaid outreach from the Utah Department of Health! The Department is hiring outreach workers to help eligible individuals learn about Medicaid expansion. This is an exciting step to help more parents enroll.
• Finally, the Utah Department of Health will -hopefully- be releasing guidelines for Medicaid ACOs, which will allow them to remind eligible members of their upcoming renewals. Many eligible individuals often lose coverage when their renewal is due. (Legislation passed in 2019 on this issue, but the guidelines have yet to be released)

… And so much more! Here’s to a 2020 where more Utah kids and families can get access to affordable health coverage and care!

Going Down a Scary Path: Utah kids are losing health insurance

Over the past two years, Utah has seen an alarming increase in our child uninsured rate. After years of steady progress, it is frightening to see kids lose health insurance. 7.4% or 72,000 Utah kids now lack health insurance, when only 6% or 59,000 kids were uninsured in 2016. We are seeing some of the most significant coverage decline among young children, age 0-5, an age when it is so critical for kids to have access to have screenings, check-ups and care. Why is this happening? Over the past two years Utah and our nation have experienced an unpredictable health care environment, affecting CHIP, Medicaid expansion and the ACA, leading to misinformation and confusion; administrative complexity and lack of continuous coverage leading to disruptions in kids coverage; anti-immigrant policies and rhetoric leading families to feel unwelcome and unsafe enrolling in programs. These are scary barriers keeping Utah kids from getting the care and coverage they need and Voices for Utah Children will be working hard to keep Utah from continuing down this path any further.

Tricks and Treats

After a roller coaster summer, the Utah Department of Health is submitting a waiver proposal to expand Medicaid, fully, up to 138% of the federal poverty level. Currently, Utah has only partially expanded Medicaid. Partial expansion has meant that more individuals are eliglble for Medicaid, but also that thousands of individuals and parents are still shut out of coverage, while Utah pays more money to cover fewer people. We are excited for Utah to take this step closer to full Medicaid expansion, as voters supported.

But unfortunately, this latest waiver proposal also includes harmful, additional barriers such as work reporting requirements and additional cost requirements for enrollees. These added requirements will make it harder for Utah parents and children to get coverage and care. Comments are needed to prevent these harmful requirements from moving forward.

We need your help to get Utah back on the right track to full expansion (the ‘treat’ without the tricks!). Submit your comments today to stand up for full Medicaid expansion, without additional barriers or restrictions.

Finally, the Public Charge rule was recently blocked in the courts. The Public Charge is postponed until further notice. But we still have work ahead of us and we must undo the damage already done as a result of anticipation of this harmful rule, and other anti-immigrant hostilities.

Learn more about the latest developments in the Public Charge rule here.

Updates on kids coverage in Utah: Kids are losing Medicaid/CHIP coverage, meanwhile Utah is still paying more to cover fewer people…and more!

Why are Utahns paying more to cover fewer people?

Under Utah’s current partial expansion plan (aka the “bridge plan”), Utah is paying 30% more to cover thousands of fewer kids and families on Medicaid. To date, around 34,000 new individuals have enrolled in Medicaid coverage, although at least 50,000 still remain in the gap, unable to afford coverage on their own and not offered it through their job. Utah has left at least $7 million in federal funds on the table so far-- funds that could be used to help more families get coverage and care. (New update: latest reports state the Trump administration will reject Utah's partial expansion. It's time to stop paying more to cover fewer people.)

Alarming Trend in Kids' Medicaid/CHIP Coverage

Utah kids are dis-enrolling from Medicaid/ CHIP at an alarming rate. At the July Utah Medicaid Advisory Committee meeting we learned that over 2,000 kids lost Medicaid/CHIP coverage last month. Such a steep drop cannot be explained by a strong economy alone. The number of Utah kids leaving CHIP/ Medicaid are among the highest in the nation. Both the Utah Department of Health and Department of Workforce Services have committed to doing additional investigation as to WHY kids are losing coverage. We greatly appreciate that they are taking this issue seriously and are working to find answers.

Utah Medicaid Advisory Committee Once Again Prioritizes 12-Month Continuous Eligibility- Let's Keep Kids Covered!

For the third straight year, the Utah Medicaid Advisory Committee prioritized 12-month continuous eligibility for children on Medicaid as one of their top funding requests to the Governor. 12-month continuous eligibility would allow more kids to get covered- and stay covered. Current Medicaid reporting requirements mean many kids unnecessarily lose coverage, with cascading negative impacts. This policy would protect kids and families. The Utah Medicaid Advisory Committee has continually prioritized this as a cost-effective, best practice to keep kids healthy, consistently voting in favor of the Utah Department of Health adopting this policy.

The Latest on Utah’s Medicaid Waiver

Utahns submitted a record 1,700 comments on Utah’s partial Medicaid expansion. Thanks to all who stood up for voter-approved full Medicaid expansion. Utahns voiced strong opposition to the proposed cuts, caps and barriers to Medicaid coverage which would leave many kids and parents without coverage or care. These comments send a message to state and federal officials and will provide the backbone for any future legal action.

Haven’t submitted a comment yet? There’s still time! Submit a comment here: www.utahchildren.org/comment

Report: 2019 UTAH STATE OF CHILDREN’S COVERAGE REPORT 100% Kids: Giving All Kids the Opportunity to Thrive

Executive Summary

Health insurance coverage provides children with the foundation they need to be healthy and thrive. When children have health insurance, they have better health outcomes, greater academic success and more economic opportunities later in life.

Utah lags behind the rest of the nation when it comes to covering kids. In Utah, 7% of all children are uninsured, compared to 5% nationally. While Utah has made significant strides over the years connecting more children to coverage, in the last year, Utah’s child uninsured rate has increased. In 2017, Utah was one of only nine states to see its child uninsured rate trend in the wrong direction.

Who are the uninsured children of Utah? They are overwhelmingly low-income. Typically, their parents are uninsured too. The majority are eligible for CHIP or Medicaid insurance, but not enrolled. Some are not eligible for insurance at all because of their citizenship or immigration status. They live across Utah, with a higher percentage of uninsured children living in rural areas. Some children may have never been insured; some may have had insurance and then lost it or had a parent dis-enroll them due to stigma or fear of enrolling in public health insurance programs. They come from all racial and ethnic backgrounds however, a disproportionate percentage of uninsured children in Utah are Latino, the highest in the nation. Some come from families experiencing intergenerational poverty, some are immigrants, refugees or asylum seekers, facing steep obstacles to their health and well-being.

But no matter who they are, they are all Utahns. When 7% of our child population lacks health insurance, we put Utah’s future at risk. Utah is at a unique moment to challenge the negative trends and demand that all children, no matter their background, zip code, citizenship or immigration status, can access affordable health coverage.
The 100% Kids Coverage Campaign is led by a diverse coalition of stakeholders. This multi-year campaign has a goal of ensuring all Utah children will have coverage. Guided by four over-arching policy recommendations, the Campaign proposes to change Utah’s health coverage landscape:

1. Strengthen and protect Medicaid coverage for parents
2. Keep kids covered all year round
3. Support consistent outreach and enrollment support
4. Cover all kids, regardless of background or immigration status

Through targeted policies, political and community engagement, we can ensure that all Utah kids have the health coverage they need to grow, thrive and succeed in life. We believe that it is possible for 100% of Utah children to have access to affordable, consistent health coverage. We invite you to join us and help us reach 100% together.

The full report can be downloaded below. For a free print copy please call Voices at 801-364-1182