HUSKY A MEDICAID FOR CHILDREN PARENTS AND PREGNANT

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HUSKY A MEDICAID FOR CHILDREN, PARENTS, AND PREGNANT WOMEN

HUSKY A MEDICAID FOR CHILDREN, PARENTS, AND PREGNANT WOMEN

Connecticut Voices for Children's mission is to promote the well-being of all of Connecticut's

Connecticut Voices for Children's mission is to promote the well-being of all of Connecticut's children and families by identifying and advocating for strategic public investments and wise public policies. Connecticut Voices advances its mission through high-quality research and analysis, policy development, strategic communications, and establishment of a sustainable and powerful voice for children.

What is HUSKY A? üMedicaid for children, parents, and pregnant women üHealth insurance to

What is HUSKY A? üMedicaid for children, parents, and pregnant women üHealth insurance to promote family wellbeing

What happened? In 2015: Eligibility from 201%FPL of 4) 155%FPL ($38, 130/year/family • Over

What happened? In 2015: Eligibility from 201%FPL of 4) 155%FPL ($38, 130/year/family • Over 18, 000 received letters • Over 11, 000 parents lost coverage • As of November 2017: over 78% had no known insurance

Why didn’t they buy insurance? ØWITH federal subsidies, out-of-pocket costs can be up to

Why didn’t they buy insurance? ØWITH federal subsidies, out-of-pocket costs can be up to 17% of household income* ØEnrollment processes can be confusing ØDental enrollment is a separate cost ØConnecticut has a high cost of living; any outof-pocket costs may force families to prioritize food, rent, and utilities over the risk of going uninsured *(to cover 2 parents in a family of 4 at 150%FPL)

What happened next? In 2017: • Eligibility from 155%FPL ($34, 638/year/family of 4) 138%FPL

What happened next? In 2017: • Eligibility from 155%FPL ($34, 638/year/family of 4) 138%FPL • Transitional Medical Assistance ends 12/31/18 v. What happened last week?

Context State fiscal crisis: ◦ Deficit ◦ No state budget for months Political gridlock

Context State fiscal crisis: ◦ Deficit ◦ No state budget for months Political gridlock

Looking a. T Connecticut’s budget…

Looking a. T Connecticut’s budget…

OPM: “It is not a spending problem. ” Expenditure growth, General Fund, 1996 -2019,

OPM: “It is not a spending problem. ” Expenditure growth, General Fund, 1996 -2019, Office Of Policy And Management

Share of General Fund 38% 36% 34% 32% 30% 28% 26% 24% 22% 20%

Share of General Fund 38% 36% 34% 32% 30% 28% 26% 24% 22% 20% Shifting Priorities as Rising Nonfunctional Costs Create Budget Squeeze 32. 8% 29. 5% 27. 7% 21. 5% 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Non-Functional Nonfunctional Costs Budget CT Voices analysis of budget proposals Children's Budget Children’s

Who is affected?

Who is affected?

Why does it matter? Medicaid reduces poverty Healthy parents can parent and work better

Why does it matter? Medicaid reduces poverty Healthy parents can parent and work better Access to care for parents often means access for kids Risk of uncompensated care, missing preventable disease, untreated chronic disease

Next Steps: Promote health equity ØInvestment in children Fiscal reform ØRemove fiscal restrictions ØModernize

Next Steps: Promote health equity ØInvestment in children Fiscal reform ØRemove fiscal restrictions ØModernize tax base ØGrow economy

Next Steps: A budget that reflects CT’s values q. Federal and state threats q.

Next Steps: A budget that reflects CT’s values q. Federal and state threats q. Protect progress: CT Medicaid is a leader q. Address social determinants of health

Contact us Karen Siegel ksiegel@ctvoices. org FIND US: ◦ Website: http: //www. ctvoices. org/

Contact us Karen Siegel ksiegel@ctvoices. org FIND US: ◦ Website: http: //www. ctvoices. org/ ◦ Twitter (@CTVoices): https: //twitter. com/CTVoices ◦ Facebook: https: //www. facebook. com/CTVoicesfor. Childre n/ ◦ Tableau: https: //public. tableau. com/profile/connecticut. v oices. for. children

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