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Appendix B: Overview of Public Health Insurance Programs
Pages 153-160

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From page 153...
... The Balanced Budget Act of 1997 extended Medicare coverage to include annual mammograms, Pap smears, prostate and colorectal cancer screenings, diabetes management, and osteoporosis diagnosis. Eligibility.
From page 154...
... About 5 percent of the Medicare budget goes to the ESRD program, although only about 0.5 percent of Medicare beneficiaries are ESRD patients (Century Foundation, 2001~. Medicare benefit payments totaled $237 billion in 2001, accounting for 12 percent of the federal budget and 19 percent of total national spending for personal health services (Century Foundation, 20013.
From page 155...
... recipients or those aged, blind, and disabled individuals who qualify in states that apply more restrictive eligibility requirements; · recipients of adoption assistance and foster care as designated by Title IVE of the Social Security Act; . special protected groups (typically individuals who lose their cash assistance from SSI due to earnings from work or increased Social Security benefits but may keep Medicaid for a period of time)
From page 156...
... Total Medicaid enrollment of adults and children fell by 1.5 million Tom 1995 to 1997 as a strong economy and state and federal welfare reform efforts decreased participation in cash assistance programs (Bruen and Holahan, 2002; Urban Institute, 2002b)
From page 157...
... In addition, section 1931 provisions allow states to extend coverage to parents at much higher income levels than previously available, new opportunities for coverage expansions of which states have taken advantage. Additional growth in Medicaid enrolLnent has also occurred as the economy experienced a downturn, and more people now meet the current eligibility standards.
From page 158...
... nursing facility services for individuals ages 21 years and older, · home health care for people eligible for nursing home services, · family planning services and supplies, · rural and federally qualified health clinic services, · laboratory and X-ray services, · pediatric and family nurse practitioner services, and · nurse midwife services. Specific Medicaid benefits for children were established in 1967, with the creation of the Early and Periodic Screening, Diagnosis, and Treatment UPSETS program.
From page 159...
... This program represents the largest single expansion of health insurance coverage for children in more than 30 years. Under the new Title XXI of the Social Security Act, states were given the option to set up a separate child health program, expand Medicaid coverage, or have a combination of both a separate child health program and a Medicaid expansion.
From page 160...
... In addition, there are currently seven states with approved premium assistance programs: Maryland, Massachusetts, Mississippi, NewJersey, Virginia, Wisconsin, and Wyoming. Premium assistance programs allow states to subsidize health coverage for low-income residents whose employers offer health insurance.


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