Kaine's Famis Claims Review
Touting new figures on enrollments in Virginia's Medicaid and Children's Health Insurance Program, Governor Kaine claimed his priority efforts to get more uninsured but eligible children enrolled in Medicaid and to cover more pregnant women through Medicaid and FAMIS MOMS were succeeding. Succeeding is relative of course. What has succeeded is moving 1,200 mothers from independence to dependence, and requiring them to obtain their health care from only those practitioners willing to serve Medicaid clients. While the Governor remains hopeful that dragging more mothers into dependence on a government health program will increase the number of healthy infants born in the Commonwealth, he does not present any evidence of that in the press release. One may assume that the absence of any data to buttress this claim is based on the non-existence of data supporting the claim.A closer look (below the fold) at the numbers however is revealing.
The press release notes enrollments of pregnant women in FAMIS MOMS increased by 1,200 since January 2006. For the 24 month period this is an average of 50 enrollments per month statewide. The release also reveals that this was accomplished by increasing the income level of those eligible from 150 percent of Federal Poverty Level to 185 percent. In plain talk this means that even by increasing the income eligibility level from covering all those single mothers with less than $21,000 annual income to all with annual income less than $25,900 this resulted in a total of 1,200 women signing up for FAMIS MOMS in two years. FAMIS MOMS coverage is not permanent. Sixty days after delivery the coverage ends. The increase in enrollment of 1,200 mothers is a point in time. At the end of at most 11 months, they will no longer be eligible, unless they become pregnant again. At that point their income could increase to $32,560 and still be eligible.
The governor also claims expanded marketing efforts in English and Spanish increased enrollment in FAMIS and Medicaid by more than 24,000 in two years. We do not get a breakdown of which program they enrolled in. FAMIS does not serve those who are the poorest. It serves those who are not eligible for Medicaid because their household income is above the 85% of poverty covered by Medicaid. It is entirely possible that the increased enrollment has come about from the higher eligibility limits and the proportion of truly poor children without health insurance has not been diminished. Also included in the Medicaid enrollment are the 7,750 children currently in state custody who the state covers through that program.
One more comparison, the governor claims a total of 450,000 children and 17,500 moms are participating in one of the state health insurance programs, but this is less that the total number on food stamps alone currently with many of those children and moms in households ineligible for foods stamps. The Virginia Department of Social Services reports 550,000 current food stamp participants. In other words the "successful" effort to enroll more children and mothers in a state health insurance program still leaves at least 80,000 food stamp eligibles out of the health insurance program intended to serve them first.
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