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October 24, 2007 Honorable John D. Dingell
Dear Mr. Chairman: The Congressional Budget Office and the Joint Committee on Taxation have prepared the enclosed cost estimate and estimate of changes in health insurance coverage for the Children's Health Insurance Program Reauthorization Act of 2007 as provided to CBO on October 24, 2007. If you wish further details on this estimate, we will be pleased to provide them. The CBO staff contacts are Eric Rollins, Jeanne De Sa, and Robert Stewart. Sincerely, Peter R. Orszag
Enclosure cc: Honorable Joe Barton
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CBO's Estimate of Changes in SCHIP and Medicaid Enrollment of Children Under the Children's Health Insurance Program Reauthorization Act of 2007
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(Based on the legislative language CHIP-II_002, available at http://www.rules.house.gov/110/text/110_schip2.pdf)
All figures are average monthly enrollment, in millions of individuals. Components may not sum to totals because of rounding. |
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SCHIP /a/ |
Medicaid /b/
| SCHIP/Medicaid total |
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Enrollees moved to SCHIP | Reduction in the uninsured | Reduction in private coverage | Total | Enrollees moved to SCHIP | Reduction in the uninsured | Reduction in private coverage | Total | Reduction in the uninsured | Reduction in private coverage | Total | |||||
FISCAL YEAR 2012: | |||||||||||||||
CBO's baseline projections | 3.3 | 25.0 | 28.3 | ||||||||||||
Effect of providing funding to maintain current SCHIP programs | 0.6 | 0.7 | 0.4 | 1.7 | -0.6 | n.a. | n.a. | -0.6 | 0.7 | 0.4 | 1.1 | ||||
Effect of additional SCHIP funding and other provisions: | |||||||||||||||
Additional enrollment within existing eligibility groups /c/ /d/ /e/ | * | 0.8 | 0.5 | 1.3 | -0.1 | 1.9 | 0.5 | 2.3 | 2.7 | 1.0 | 3.6 | ||||
Expansion of SCHIP and Medicaid eligibility to new populations | n.a | 0.5 | 0.5 | 1.1 | n.a | n.a | n.a | n.a | 0.5 | 0.5 | 1.1 | ||||
Subtotal | * | 1.3 | 1.1 | 2.4 | -0.1 | 1.9 | 0.5 | 2.3 | 3.2 | 1.5 | 4.7 | ||||
Total proposed changes | 0.6 | 2.0 | 1.5 | 4.1 | -0.6 | 1.9 | 0.5 | 1.7 | 3.9 | 2.0 | 5.8 | ||||
7.4 | 26.7 | 34.1 | |||||||||||||
Notes: | |||||||||||||||
/a/ The figures in this table include the program's adult enrollees, who account for less than 10 percent of total SCHIP enrollment. | |||||||||||||||
/b/ The figures in this table do not include children who receive Medicaid because they are disabled. | |||||||||||||||
/c/ For simplicity of display, the Medicaid figures in this line include the additional children enrolled as a side effect of expansions of SCHIP eligibility. | |||||||||||||||
/d/ Section 112 of the act would shift coverage of childless adults in SCHIP to Medicaid and allow some states that are currently planning to shift parents from SCHIP to Medicaid to continue covering them in SCHIP. | |||||||||||||||
/e/ The Medicaid figures and SCHIP/Medicaid totals in this line include about 100,000 adults who would gain eligibility under section 211 of the act. | |||||||||||||||
n.a. = not applicable | |||||||||||||||
* = fewer than 50,000 enrollees. | |||||||||||||||