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A Healthy Blog

Massachusetts health care – wonky with a dose of reality

April 20, 2018

On April 23, the Massachusetts House of Representatives will begin voting on the state’s budget for fiscal year 2019, which begins on July 1 of this year. Representatives will consider 1400 amendment proposed by Representatives, including a number of important health-care related amendments.

HCFA is supporting a number of amendments that will improve access to affordable and quality health care coverage; there are also some proposed amendments we oppose that would move us backwards.

With debate in the House starting, it is crucial that your Representative knows how constituents feel about these critical health care related amendments. To find your State Representative’s contact information, click here.  A summary of these key amendments is below:

[For full explanations of each amendment, see our complete budget amendment fact sheet here]

HCFA Supports:

Health Insurance:

Amendment #1268 (Insurance Provider Directories): Sponsored by Rep. Barber, establishes comprehensive requirements on health plans to make accurate provider directories available to the public.

Oral Health:

Amendment #580 (Periodontal Coverage Restoration): Sponsored by Rep. Scibak, adds language and $12 million (over half federally reimbursed) to MassHealth to reinstate coverage for periodontal services for adult MassHealth enrollees.

Amendment #976 (DPH Office of Oral Health): Sponsored by Rep. Hogan, is a no-cost amendment that removes an earmark to free up sufficient funding for the operation of DPH’s Office of Oral Health.

Amendment #812 (Dental Program for Children): Sponsored by Rep. Cahill, funds the Forsyth Kids program at $300,000, level-funded from FY2018.

Prescription Drugs:

Amendment #557 (Academic Detailing Initiative): Sponsored by Rep. Benson, adds language and $500,000 to fund a physician education program on cost-effective ways to manage pain without opioids, administered by the Health Policy Commission.

Amendment #1285 (Ban Drug Company Marketing “Coupons”): Sponsored by Rep. Barber, reinstates the state’s prohibition on drug industry marketing “coupons” by 2019.

Amendment #620 (MassHealth Drug Cost Control and Transparency): Sponsored by Rep. Jones, authorizes MassHealth to negotiate cost-effective drug prices, and receive pricing information if no agreement can be reached.

Children’s Health:

Amendment #247 (Infant and Early Childhood Mental Health): Sponsored by Rep. Balser, would provide $125,000 to support collaboration activities of the Department of Mental Health and the Department of Early Education and Care.

Amendment #473 (Mental Health Advocacy Program for Kids): Sponsored by Rep. Golden, would provide $200,000 to maintain MHAP for Kids.

Amendment #1172 (Expansion of Return to School “Bridge” Programs): Sponsored by Rep. Campbell, would provide $250,000 to expand these bridge programs.

Amendment #198 (Protecting Medically Complex and Fragile Children): Sponsored by Rep. Dwyer, would provide an additional $16 million investment in the Continuous Skilled Nursing Program.

HCFA Opposes:

Amendments #116 and #339 (MassHealth Control Board): Sponsored by Reps. Lombardo and Lyons, set up a MassHealth Control Board with broad authority to make changes to the MassHealth program, with no legislative oversight.

Amendment #337 (Harmful MassHealth Proposal): Sponsored by Rep. Lyons, requires that MassHealth spending not exceed 30% of the total state budget. This would force massive cuts in MassHealth.

April 19, 2018
On Saturday, April 14th, in what seemed to be a precursor to the Boston Marathon, members of the Immigrant Healthcare Access Coalition (IHAC) steering committee completed their own long distance event – they ran the 2018 Democracy School: Building Health Care Power in Immigrant Communities. This training was part of a coordinated, on-going effort to inform immigrants and the groups that serve them about their health care rights. The training also aimed to dispel the growing fear and mistrust within immigrant communities that is preventing many individuals and families from seeking the health care services they need - when they need them. 

A panoramic look at the 2018 Democracy School in action!

Staff members from Health Care For All (HCFA), Health Law Advocates (HLA), and the Massachusetts Immigrant and Refugee Advocacy Coalition (MIRA) spent six months meeting one-on-one with individuals and organizations in the Greater Boston area to discuss the challenges to health care access that are facing immigrant communities and to anticipate  additional challenges coming in the near future.


(L-R) Sally Strniste, HCFA’s Chief of Staff, and Maria R. Gonzalez Albuixech smiling for the start of the training!

Robust recruitment efforts led to the participation of more than 65 health care providers, community based organizations, and individual consumers. Having had a goal of 15-20 attendees, the event’s organizers were thrilled that so many committed advocates and volunteers came together to learn about the immigration rules and regulations that are critical to health care access for the communities they serve.  High turnout at the training confirmed that there is a need for clear information and individual outreach within local communities that are made up of or serve large numbers of immigrants and their families.

By the time April 14th showed up on the calendar, everyone who helped plan the “Democracy School: Building Health Care Power in Immigrant Communities” was eager to implement the training that took place at “La Alianza Hispana” located on Massachusetts Avenue.


(L-R) Suzanne Curry, Hannah Frigand, and Yaquelin Cordon, HCFA staff members and event volunteers, getting ready to receive the participants.

Maria R. González Albuixech, HCFA’s Director of Strategy and Communications, and Deolinda Daveiga, HCFA’s Outreach and IHAP Coordinator, opened the training in English, Spanish, and Portuguese.  Language capacity is a critical piece of the training and the project and all resources were made available in three languages so that attendees could benefit as much as possible from the presentations by following along in the language that was most comfortable for them.


Maria R. González Albuixech and Deolinda Daveiga, both of HCFA, deliver the opening remarks to a packed room

The programming for the rest of the training included a number of presentations from project partners. Liza Ryan, of MIRA, gave a brief overview of changing immigration policy at the federal level. She emphasized the importance of being knowledgeable but also calm during these tense times.


Liza Ryan, of MIRA, delivers the first PowerPoint presentation of the day about federal immigration changes

Following this federal update, Andrew Cohen, the chair of the Immigrant Health Care Access Coalition (IHAC) and an attorney at HLA, focused his presentation on the specific health care protections that immigrants, both documented and undocumented, have under the law. Despite the shifting political landscape, Andrew’s powerful presentation described the changes that are on the horizon and laws that will remain intact in the immediate future.

April 12, 2018

Last week Health Care For All (HCFA) celebrated a tremendous victory along with the many organizations that make up the Protecting Access to Confidential Healthcare (PATCH) Alliance when Governor Baker signed into law the PATCH Act, which advances patient confidentiality protections.

Alyssa Vangeli, HCFA’s Associate Director of Policy and Government Relations, has been leading the PATCH Alliance since its inception close to four years ago. The PATCH Alliance, a group composed of 40+ provider, advocacy and community based organizations, organized support for the bill along with the Massachusetts Association of Health Plans and Blue Cross Blue Shield of Massachusetts.
 

Alyssa Vangeli, left, and Amy Rosenthal, HCFA's Executive Director, right, wait for the PATCH Act signing ceremony to begin. 
 

The PATCH Act (An Act To Protect Access to Confidential Healthcare, S. 2296) ensures that when multiple people are on the same insurance plan, confidential health care information is not shared with anyone other than the patient. Health plans typically send a Summary of Payments (SOP) form detailing the type and cost of medical services received to the primary policyholder each time an enrollee on the plan accesses care. The SOP form is meant to explain how and when an insurance plan is being used and is not a medical bill. In some instances, the SOP form may contain information on sensitive health care services and can unintentionally compromise patient confidentiality for anyone enrolled as a dependent on another person’s health insurance policy, such as a young adult or spouse.

The PATCH Act closes this privacy loophole and  gives patients the option to receive SOP forms directly or online after receiving sensitive heath services, rather than have these SOP forms go to the health plan policyholder. The bill also allows patients to opt-out of receiving SOPs if no payment is due. By ensuring that sensitive health care information remains confidential, patients will not have to risk delaying or forgoing needed care, or in extreme cases, risk being traumatized, stigmatized or harmed for accessing services, out of fear that their confidential health care information will be shared.
 

The PATCH Act waiting to be signed by Governor Baker before the start of the event.

A number of PATCH Alliance member organizations were given the opportunity to stand with Governor Baker for the ceremonial signing of this critical bill on April 2, 2018.

Governor Baker signs the PATCH Act into law.

Alyssa was then given the opportunity to say a few words and thanked the lead sponsors of the bill, Representative Hogan and Senator Spilka, for their incredible leadership and perseverance to make this bill a reality. She also spoke to the strength of the diversity and breadth of PATCH Alliance members, which include provider and advocacy organizations focused on care related to domestic violence, sexual assault, mental health, substance use disorders, sexual and reproductive health, HIV/AIDS and LGBTQ health, among other potentially sensitive services. 

Alyssa Vangeli, HCFA's Associate Director of Policy and Government Relations, speaks during the signing ceremony.
 

The signing ceremony capped years of hard work and careful negotiations among legislators and interested groups. Most of the provisions of the bill will take effect later this summer, with one delayed until next year. HCFA will closely monitor the implementation of the law to make sure that its provisions are being applied by all insurers.

Passage of the PATCH Act demonstrates the power of HCFA and our partners to effect change by listening to people raising on-the-ground problems, building broad coalitions, and working through the political process.

Members of the PATCH Alliance take a final photo with Governor Baker at the conclusion of the signing ceremony.

 

-Davis Jackson and Alyssa Vangeli

February 28, 2018

Starting tomorrow, MassHealth is enrolling most members into new health plan options, including Accountable Care Organizations. The change will impact up to 1.2 million MassHealth members.

What are MassHealth Accountable Care Organizations (ACOs)?

ACOs are provider-led organizations that coordinate care and are accountable for the quality and total cost of care of its members. Primary Care Providers (PCPs) work together with members and their team of network providers to coordinate care and connect members with available services and supports. MassHealth ACOs are a new kind of managed care option.

Who is eligible to enroll in an ACO?

People who are required to enroll in some kind of MassHealth managed care plan are eligible to enroll in an ACO. This only affects people who have MassHealth as their only health insurance coverage.

Who is not eligible to enroll in an ACO?

  • People who are enrolled in MassHealth and other health insurance coverage (for example Medicare or employer-sponsored health insurance).
  • People who are eligible for or enrolled in One Care, Senior Care Options (SCO), or PACE.
  • Seniors who are eligible for MassHealth based on their age.
  • People who are only eligible for or enrolled in MassHealth Limited.

Will an ACO be my only option for coverage through MassHealth?

In most areas of Massachusetts, MassHealth members required to enroll in managed care will have the following health plan options:

  • One or more ACO
  • Two Managed Care Organizations (MCOs) – Tufts Health Together and BMC HealthNet
  • Primary Care Clinician (PCC) Plan with the Massachusetts Behavioral Health Partnership

When do new plan options go into effect?

New MassHealth plan options, including ACOs, go into effect March 1, 2018. If you received a green-stripe letter, these new options apply to you. You may have already been assigned to a new ACO.

Can I keep all my current doctors?

MassHealth assigned members to plans that their primary care provider (PCP) participates in. You should check your doctors and/or your health plan to make sure your other providers, including specialists, are included in the new plan’s network. If they are not, you can work with you provider and plan to see if they can join the network, or you may consider switching plans.

What happens to prior authorizations or upcoming medical care?

Even if your current providers are not in your new plan or your new plan has not authorized your services, you will be able to keep scheduled appointments with your current providers and use previously authorized services through at least May 31st. You should work with you plan and providers to figure out your options after March 31st.

Will I be able to switch my ACO or health plan?

MassHealth members have until June 30, 2018 to switch plans. After that, MassHealth members can only switch plans for certain reasons, until March 1, 2019. People who become eligible for MassHealth after March 1, 2018 will have 90 days from the start of their MassHealth coverage to switch plans.

Where can I get more information about my enrollment options?

-Suzanne Curry

February 21, 2018

Last week, The Greater Boston Food Bank (GBFB) and Children’s HealthWatch released the first study of the health-related costs of hunger and food insecurity in Massachusetts. With one out of every 10 people in Massachusetts unable to afford enough food to lead an active, healthy life, An Avoidable $2.4 Billion Cost reveals exactly what its title says: the costs of debilitating health issues that are attributable to food insecurity are high…and avoidable.

The study breaks down the correlation between hunger and debilitating health issues that are attributable to food insecurity and presents the conditions – and their costs—in seven main categories:

  • Poor General Health: $635.4 million
  • Pulmonary Diseases: $572.6 million
  • Special Education: $520.3 million
  • Type 2 Diabetes: $251.1 million
  • Mental Health Conditions: $223.3 million
  • Obesity: $132.7 million
  • Rheumatology Diseases: $76.9 million

Hunger and food insecurity have particular and long-lasting ramifications for children—with negative effects that often persist through the lifespan. GBFB president and CEO Catherine D’Amato tells The Boston Globe: “If a child misses the right nutrition early on in their life…it can limit their potential to be an active citizen in their community. That damage is done.”

GBFB and Children’s HealthWatch encourage leaders in the health care community to join forces with policymakers at both the state and federal levels to reduce food insecurity, improve the health of food-insecure Massachusetts residents and reduce healthcare costs for individuals, families and the Commonwealth. Specific policy recommendations include:

  • Healthcare providers should screen patients routinely for food insecurity.
  • Congress should maintain the current funding levels and structure of the Supplemental Nutrition Assistance Program (SNAP).
  • Funding of the Massachusetts Emergency Food Assistance Program, which helps the state’s food banks serve the 700,000 food-insecure people in our state, should be increased to $20 million in FY19
  • Massachusetts should implement a common application for MassHealth and SNAP.
  • Massachusetts high-poverty schools should institute breakfast after the bell programs.

 As a consumer advocacy organization, Health Care For All (HCFA) knows that social determinants of health—factors such as lack of affordable housing, food insecurity, transportation barriers, limited access to well-paying jobs, and exposure to violence—contribute to poor health outcomes, drive up health care costs, and create health inequities across race and income. HCFA believes that addressing the social determinants of health (SDOH)—including hunger and food insecurity—is a critical component of our mission to create a health care system that provides comprehensive, affordable, accessible, and culturally competent care to everyone in Massachusetts—especially the most vulnerable among us.

The new MassHealth Accountable Care Organization (ACO) program provides an opportunity to begin to address some of the SDOH needs of MassHealth members. HCFA will be monitoring how these new ACOs use “flexible funds” to address social service needs, and we hope to learn more about the SDOH needs of the ACO member populations and the impacts of these interventions over time as the ACO program rolls out.

-Natalie Litton

February 8, 2018

With the end of Open Enrollment approaching, Health Care For All (HCFA) decided to host one last enrollment session in the city of Framingham on Saturday, January 20th 2018 to help those residents who still needed assistance applying for health insurance. HCFA coordinated an event alongside Rede ABR Radio Brasileira, the Joint Committee for Children’s Health Care in Everett, and the Edward M. Kennedy Community Health Center to serve the community.

A group picture featuring all of our dedicated volunteers following a successful enrollment session

Upon arriving in Framingham, the team quickly realized that many people were in need of help. While the enrollment session was not scheduled to begin until 10 AM, the line was already snaking around the outside of the building at 7 AM. Temperatures started in the 20’s and didn’t climb much during the day so we knew that something had to be done to help those standing in line in the cold. Along with cold hands and noses, many of these residents had small children with them as well. Some residents were moved to a backroom opened by ABR Radio Brasileira, our host, where kids had activities to play with and adults could sit and wait with refreshments - and heat! We also collected phone numbers so that people who lived close by could wait at home and come back once their turn was approaching.

Thumbs up for health care! Who can disagree with that?

It can be difficult to estimate how many people will show up to a session of this nature and it is hard to plan accordingly but we had amazing volunteers and partners who adapted quickly and committed to help as many attendees as possible.

The outreach strategies used with our partner organizations were very successful. We implemented an advertising campaign in Spanish and Portuguese on both radio and TV to reach out to diverse communities in the area. Ilma Paixao, who leads ABR Radio, and her team were very effective not just at broadcasting the information about the enrollment session but also connecting with the communities to make them feel welcome and safe, including offering their space to host the event itself. This successful ethnic media campaign was made possible thanks to Blue Cross Blue Shield of MA and the Community Charitable Donation by Sanofi Genzyme. These outreach strategies resulted in many individuals attending who preferred to use Portuguese or Spanish as their primary language. This was not a problem for our team as we had 14 volunteers who were fluent in Portuguese and English with the remaining 5 volunteers being a mix of Spanish speakers and English speakers. 

Health care volunteers hard at work!

Some of the attendees came with questions that could be answered in 10 minutes. Other residents needed to fill out entire applications that can take an hour to complete. We were able to serve most of the people standing in line on the same day, but we knew that four hours would not suffice to meet the needs of all the community members who showed up. We had to do something to help as many as possible. We decided to call the remaining residents on the list and screen them over-the-phone to see if they needed help applying for health insurance before the end of Open Enrollment under the Health Connector. Those who qualified for Connector coverage were asked to call the HelpLine before the end of Tuesday to fill out an application. We also shared magnets with the HelpLine number with people who had questions about other kinds of coverage and asked them to connect to our enrollment experts after the 23rd to make sure that we could help those who needed to take action before the deadline. 

A busy room with a flurry of health care enrollments!

At the latest count, 782 people were served as a result of the Framingham enrollment session. In fact, that number continues to grow as more and more people keep calling into our office regarding coverage questions because they heard about HCFA through the outreach campaign for this session. Word of the event spread so far that we assisted residents from as far away as Lowell, Peabody, and even Cape Cod. This is one of our most successful events as a Navigator organization working with the Massachusetts Health Connector and with the support of the MetroWest Health Foundation. 

All smiles after enrolling in health care coverage

December 8, 2017

Governor Baker, along with the governors of Oregon, Montana, and Nevada, today published an op-ed in the New York Times urging Congress to reauthorize funding the Children’s Health Insurance Program (CHIP), the program that provides health coverage to almost nine million children of low-income families across the country. The op-ed emphasized the benefits to kids’ health that CHIP has brought about since its creation in 1997 and the disastrous consequences of allowing the program to expire.

“Since the program went into effect, the percentage of children who are uninsured has dropped from 15 percent to 5.3 percent. Children who would otherwise be uninsured can now visit doctors for the regular checkups all kids should have and get the treatment they need when they’re sick or hurt, whether they’re suffering from a sore throat, a broken bone or a life-threatening illness. CHIP doesn’t just provide insurance coverage for children — it indirectly provides financial stability for many working families who depend on the program to cover their children’s health care. Many of them would otherwise be financially devastated by their kids’ hospital bills.”

Funding for CHIP expired at the end of September, and states will soon run out of the reserve funds they have been using to continue the program. In Massachusetts, CHIP provides coverage for 172,000 children. The Commonwealth will lose $295 million in federal funding if CHIP is not reauthorized. Coverage for many would be at risk, and losing federal funding for the program will be a major blow to the state’s budget. 

Governor Baker has taken a leading role in advocating for the reauthorization of the Children’s Health Insurance Program and for community health centers. Federal funding for community health centers also expired at the end of September. In Massachusetts, community health centers provide primary care to about one million residents, or about one seventh of the state’s population.    

Governor Baker and Oregon’s Governor Brown sent a letter to Congress at the end of November asking for reauthorization of CHIP, funding for community health centers, and funding for a federal home visiting program. The letter explained how, even if CHIP funding is ultimately reauthorized, the delay in funding is already causing harm.

“Absent congressional action, states will be forced to take steps including the notification of thousands of families of the loss of CHIP health care coverage. Taking steps to avoid those worst-case outcomes places a tremendous administrative and financial burden on states and sows confusion among vulnerable populations.”

Health Care For All thanks Governor Baker for his consistent advocacy on behalf of these vital programs.

November 20, 2017

Funding for the Children’s Health Insurance Program (CHIP) expired on September 30. CHIP provides health insurance for children and pregnant mothers who are low-income but are not eligible for Medicaid. States have a limited amount of funds left to maintain the program, but without federal reauthorization, these funds will soon run out. CHIP has been responsible for a massive decrease in the number of uninsured children throughout the country. When CHIP became law in 1997, 14 percent of people below the age of 18 were uninsured. By 2015, this number had decreased to less than 5 percent. In Massachusetts, CHIP covers about 160,000 children, including 7,000 expecting mothers. CHIP has helped the Commonwealth reach the incredible rate of 99 percent insurance coverage for children, which is the highest in the nation. According to updated estimates provided by MassHealth, without Congressional action, Massachusetts will exhaust its federal CHIP funding in mid-January.

Federal funding for community health centers expired on the same day. Community health centers are a vital part of the health care system, and a lack of federal funding will throw these health centers into a finical crisis, affecting a massive portion of the population. Many community health centers, uncertain when funding may reauthorized, are already experiencing considerable financial stress, which is hampering their ability to function effectively. In Massachusetts, community health centers provide primary care to one in seven state residents, or about 1 million people. Community health centers tend to serve large amounts of patients without private insurance, including those covered through Medicaid and those who are uninsured. The most vulnerable members of our society will be disproportionately affected if community health centers are forced to cut services due to a lack of federal funding.

Senator Elizabeth Warren recently posted a video calling for the reauthorization of funds for both CHIP and community health centers. Health Care For All commends Senator Warren for her commitment in fighting for these vital programs. HCFA calls on Congress to work together to forge a clean bipartisan agreement on funding of both CHIP and community health centers, two essential components of our health care system. 

November 16, 2017

The Massachusetts legislature recently passed legislation, called the Contraceptive ACCESS bill, to ensure access to birth control in Massachusetts. The bill now needs the signature of the Governor to become law.

The Affordable Care Act mandates coverage of birth control without copayments. However, the Trump administration recently moved to roll back this requirement by allowing employers to request exemptions from this requirement based on religious or moral beliefs. This could result in some employers choosing to no longer cover birth control in the insurance plans they offer to workers.

The ACCESS bill ensures that, even with this action on the federal level, employers in Massachusetts will continue to provide employees with coverage for birth control without copayments.

This bill also increases access to birth control in several other ways. It allows women to receive a 12- month supply of oral contraceptives at once, instead of requiring women to repeatedly return to the pharmacy to renew their prescription throughout the year.

This legislation further allows for women to access emergency contraception without a copayment or new prescription, which is vital to ensure timely access. Before this legislation, a woman would need to get a prescription to receive emergency contraception without a copayment. Emergency contraception is meant to be taken immediately, so being forced to wait for a prescription could undermine the effectiveness of the medication.

Access to contraception is critical to the health and wellbeing of women and their families. Health Care For All believes birth control should be available to all who need it, regardless of economic status. HCFA supports this legislation as a measure to increase access to birth control in Massachusetts and to protect against attacks on access to affordable birth control from the federal level.  

(Image courtesy of NARAL Pro-Choice Massachusetts

October 31, 2017

With Halloween upon us, we are enjoying the playfulness of costumes and trick or treating. As we are passing out sweets to all the cute ghosts and dinosaurs, we should be concerned that families are wondering whether the Children’s Health Insurance Program (CHIP) will be available to their children in the coming months and years.

As of September 30, Congress allowed funding for CHIP to expire. This puts at risk health insurance coverage for nearly 9 million children, which is scary. In early October, committees in each chamber of Congress made some progress by passing similar legislative language extending CHIP funding for five years. This is an example of the longstanding bipartisan support for CHIP and is certainly something to celebrate. However, the House version of the legislation contains other policy proposals and worrisome methods of covering the costs of CHIP funding. This means that House and Senate leadership are still negotiating how to pay for CHIP, and there are clear signals that they still have not come to an agreement.

Unfortunately—despite Congress’ progress—the urgency of refunding the program is only increasing. Last week, the Georgetown Center on Children and Families released a report outlining the consequences of Congress’ delayed action. As the report notes, the children most at risk of losing coverage live in states with CHIP programs that are running out of funds more quickly. Some states like Minnesota might run out of funds as early as November while other states could run out of funds by December or early January. Arizona, California, Florida, Texas and the District of Columbia are among the states slated to run out most quickly. This means that kids could lose coverage, including a disproportionate proportion of children of color because those states enroll some of the highest percentages of children of color.

Meanwhile, making changes to CHIP takes time and states cannot complete the necessary steps moments before they exhaust their funds. Even states that estimate their funding will stretch a bit farther into 2018 have already started taking action to wind down their program. Colorado, Texas, Virginia and Washington all plan to send notices to families in December alerting them that their coverage is ending. Utah has taken an even more significant step by submitting a plan to the Centers for Medicare and Medicaid Services (CMS) to close their program once they exhaust their funds.

Children, families and states need swift action to address the uncertainty around CHIP funding. Despite ongoing efforts to reach consensus on how to pay for CHIP, Majority Leader Kevin McCarthy announced that he would hold a floor vote on the House’s version of the CHIP funding legislation this week. This House vote threatens the bipartisan support that CHIP has had for more than 20 years. As the House moves forward with a vote, Democratic leadership argues Republicans are pushing ahead on partisan terms rather than working together to identify ways to pay for CHIP funding that would not harm other people.

It’s not a Halloween trick; it’s true: Without Congressional reauthorization, Massachusetts will exhaust its federal Children’s Health Insurance Program (CHIP) funds by March 2018. Here in the Commonwealth, CHIP is a part of MassHealth, along with Medicaid. Losing CHIP would be scary for the 160,000 Massachusetts children who depend on it for their health care. CHIP enables Massachusetts to provide health care coverage to children whose family incomes exceed the Medicaid eligibility standards but may not be high enough to afford private health insurance. In Massachusetts, 10% of children depend on CHIP for their health care, and 25% of children in the MassHealth program are covered by CHIP. In addition, CHIP currently provides health insurance to 7,000 expectant mothers who are not eligible for Medicaid. Without CHIP reauthorization, these mothers would lose access to prenatal care.

We must be loud and clear that Congress should pass a five-year extension of CHIP funding with bipartisan agreement on both policy and funding. Our little ghosts and goblins deserve it.

This post was written in concert with Community Catalyst

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