Bill Overview
Title: KIDS Health Act of 2022
Description: 2022 This bill requires the Centers for Medicare & Medicaid Services (CMS) to implement a demonstration program that supports a whole child health model for children under Medicaid and the Children's Health Insurance Program (CHIP). Specifically, the CMS must award grants to up to 15 states to plan and implement a health care model that supports the physical, behavioral, social, and other needs of children who qualify for Medicaid or CHIP through care coordination and integrated supportive services. States must implement models for 4-6 years. The CMS must provide technical assistance and guidance to states for the demonstration program. The bill also provides for an 80% federal matching rate for program costs. The Government Accountability Office must report on program outcomes.
Sponsors: Sen. Carper, Thomas R. [D-DE]
Target Audience
Population: Children enrolled under Medicaid and CHIP worldwide
Estimated Size: 9000000
- The bill targets children enrolled in Medicaid and CHIP, which are government programs providing healthcare to low-income families.
- The CMS demonstration program involves up to 15 states, focusing on the health of children covered by Medicaid or CHIP.
- The focus is on a comprehensive health care model addressing physical, behavioral, and social needs, indicating an impact beyond basic medical care.
- The KIDS Health Act of 2022 seeks to enhance care coordination and integrate supportive services, which suggests an impact on service delivery to this population.
- Statistics on Medicaid and CHIP enrollment provide context: As of the latest data, approximately 74 million Americans are enrolled in Medicaid and CHIP is around 9 million children.
Reasoning
- The KIDS Health Act of 2022 primarily targets low-income children enrolled in Medicaid and CHIP, with specific attention to their comprehensive health including physical, behavioral, and social needs.
- The policy will be implemented in up to 15 states, suggesting a focus on states with significant numbers of eligible children and potentially varying levels of current service provision.
- Wellbeing improvements will likely be more significant in regions or among populations where current Medicaid and CHIP services are less comprehensive.
- Considerations for selecting interview subjects include demographic diversity and varying levels of current access to comprehensive healthcare.
Simulated Interviews
Student (Los Angeles, CA)
Age: 8 | Gender: female
Wellbeing Before Policy: 5
Duration of Impact: 5.0 years
Commonness: 3/20
Statement of Opinion:
- My mom always worries about my health visits and how much they cost. I go to different doctors but it's hard to keep track of everything.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 7 | 5 |
| Year 2 | 7 | 5 |
| Year 3 | 8 | 5 |
| Year 5 | 8 | 6 |
| Year 10 | 9 | 6 |
| Year 20 | 9 | 7 |
Student (Rural Alabama)
Age: 10 | Gender: male
Wellbeing Before Policy: 4
Duration of Impact: 6.0 years
Commonness: 2/20
Statement of Opinion:
- We rarely go to the doctor because we live far and it's hard to get there. My mom said this new program might help more doctors come to us.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 5 | 4 |
| Year 2 | 6 | 4 |
| Year 3 | 6 | 5 |
| Year 5 | 7 | 5 |
| Year 10 | 7 | 6 |
| Year 20 | 8 | 7 |
Student (New York, NY)
Age: 6 | Gender: female
Wellbeing Before Policy: 6
Duration of Impact: 5.0 years
Commonness: 4/20
Statement of Opinion:
- My doctor talks to a lot of other people about me. I think if everyone spoke to each other more often, things could be a bit easier.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 7 | 6 |
| Year 2 | 8 | 6 |
| Year 3 | 8 | 7 |
| Year 5 | 9 | 7 |
| Year 10 | 9 | 8 |
| Year 20 | 9 | 9 |
Student (Houston, TX)
Age: 9 | Gender: male
Wellbeing Before Policy: 5
Duration of Impact: 4.0 years
Commonness: 3/20
Statement of Opinion:
- Sometimes when we move, it's like starting over. If this helps doctors know where I am faster, that would be good.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 6 | 5 |
| Year 2 | 6 | 5 |
| Year 3 | 7 | 5 |
| Year 5 | 7 | 6 |
| Year 10 | 7 | 6 |
| Year 20 | 8 | 7 |
Student (Detroit, MI)
Age: 7 | Gender: female
Wellbeing Before Policy: 4
Duration of Impact: 5.0 years
Commonness: 4/20
Statement of Opinion:
- I have to go see many different people for help at school and at the doctor's. Maybe they can work better together soon.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 6 | 4 |
| Year 2 | 7 | 4 |
| Year 3 | 8 | 5 |
| Year 5 | 8 | 5 |
| Year 10 | 8 | 6 |
| Year 20 | 9 | 6 |
Student (Chicago, IL)
Age: 12 | Gender: male
Wellbeing Before Policy: 6
Duration of Impact: 6.0 years
Commonness: 3/20
Statement of Opinion:
- Sometimes I'm confused by all the different doctors and appointments. It would be nice if they could just help more together.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 7 | 6 |
| Year 2 | 8 | 6 |
| Year 3 | 8 | 7 |
| Year 5 | 9 | 7 |
| Year 10 | 9 | 8 |
| Year 20 | 9 | 9 |
Student (Phoenix, AZ)
Age: 11 | Gender: other
Wellbeing Before Policy: 5
Duration of Impact: 5.0 years
Commonness: 2/20
Statement of Opinion:
- My auntie always says it's hard to get everything I need sometimes, but she heard this could make it better.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 6 | 5 |
| Year 2 | 6 | 5 |
| Year 3 | 7 | 5 |
| Year 5 | 7 | 6 |
| Year 10 | 7 | 6 |
| Year 20 | 8 | 7 |
Student (Raleigh, NC)
Age: 8 | Gender: female
Wellbeing Before Policy: 7
Duration of Impact: 4.0 years
Commonness: 4/20
Statement of Opinion:
- We already have places to go for health near our home but my mom said it could be even better for all of us with new help.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 7 | 7 |
| Year 2 | 7 | 7 |
| Year 3 | 8 | 7 |
| Year 5 | 8 | 8 |
| Year 10 | 8 | 8 |
| Year 20 | 9 | 9 |
Student (Miami, FL)
Age: 9 | Gender: male
Wellbeing Before Policy: 6
Duration of Impact: 5.0 years
Commonness: 3/20
Statement of Opinion:
- My mom said this could help us find places where they speak Spanish, which might make some visits less stressful.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 7 | 6 |
| Year 2 | 7 | 6 |
| Year 3 | 8 | 7 |
| Year 5 | 8 | 7 |
| Year 10 | 8 | 7 |
| Year 20 | 8 | 7 |
Student (Baltimore, MD)
Age: 13 | Gender: male
Wellbeing Before Policy: 5
Duration of Impact: 4.0 years
Commonness: 3/20
Statement of Opinion:
- We don't always have time to visit the doctor, so if this helped bring them closer or helped us more online, it'd be good.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 6 | 5 |
| Year 2 | 7 | 5 |
| Year 3 | 7 | 6 |
| Year 5 | 8 | 6 |
| Year 10 | 8 | 7 |
| Year 20 | 8 | 7 |
Cost Estimates
Year 1: $1000000000 (Low: $800000000, High: $1200000000)
Year 2: $1000000000 (Low: $800000000, High: $1200000000)
Year 3: $1000000000 (Low: $800000000, High: $1200000000)
Year 5: $1000000000 (Low: $800000000, High: $1200000000)
Year 10: $1000000000 (Low: $800000000, High: $1200000000)
Year 100: $1000000000 (Low: $800000000, High: $1200000000)
Key Considerations
- The wide variation in state capabilities and readiness could lead to differing levels of effectiveness in the program's implementation.
- The policy emphasizes multiple dimensions of health, from physical to social, requiring robust coordination among diverse healthcare providers.
- The accountability requirements, such as those enforced by the Government Accountability Office, can help ensure transparency in the program's outcomes.