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325 Kaiser Family Foundation, State Health Facts, Colorado: Managed Care & Health Insurance, available atwww.statehealthfacts.org/cgi-bin/healthfacts.cgi?action=profile&area=Colorado&category=Managed+Care+%26+Health+Insurance, accessed March 27, 2005.326 Colorado Health Institute (CHI) “The Small Group Health Insurance Market in Colorado” (White Paper, pp. 25-26), available at http://coloradohealthinstitute.org/publications/Sm_grp_mkt.pdf, accessed April 26, 2005.327 CHI, “The Small Group Health Insurance Market in Colorado,” pp. 25-26.328 Kaiser Family Foundation, State Health Facts, Colorado: Medicaid Managed Care Enrollees as a Percent ofState Medicaid Enrollees, 2003, available at www.statehealthfacts.org/cgi-bin/healthfacts.cgi?action=profile&area=Colorado&category=Medicaid+%26+SCHIP&subcategory=Medicaid+Managed+Care&topic=MC+Enrollment+as+a+%25+of+Total+Enrollment, accessed March 28, 2005.329 Centers for Medicare and Medicaid Services, Colorado 1915(b) Fact Sheet—Primary Care Physicians Program,available at www.cms.hhs.gov/medicaid/1915b/copcppfs.pdf, accessed March 28, 2005; and HCPF, “Assumptionsand Calculations FY 05-06 Budget Request,” November 1, 2004, p. M-69.330 Centers for Medicare and Medicaid Services, Colorado 1915(b) Fact Sheet—Primary Care Physicians Program,available at www.cms.hhs.gov/medicaid/1915b/copcppfs.pdf, accessed March 28, 2005.331 HCPF, “Assumptions and Calculations FY 05-06 Budget Request,” November 1, 2004, p. M-24. Telephoneinterview with Elizabeth Arenales, Esq., Health Care Program Director, Colorado Center on Law and Policy, byKelly Shanahan, March 6, 2005.332 Arenales interview.333 HCPF, “Assumptions and Calculations FY 05-06 Budget Request,” November 1, 2004, p. M-79.334 Centers for Medicare and Medicaid Services, Colorado, available at http://www.cms.hhs.gov/medicaid/waivers/cowaiver.asp, accessed March 28, 2005.335 Centers for Medicare and Medicaid Services, Colorado §1115 Demonstration Fact Sheet—Consumer DirectedAttendant Support, available at http://www.cms.hhs.gov/medicaid/1115/cocdasfct.pdf, accessed March 28, 2005.336 Centers for Medicare and Medicaid Services, Colorado §1115 Demonstration Fact Sheet—Alternatives inMedicaid Home Care, available at http://www.cms.hhs.gov/medicaid/1115/coamhcsfct.pdf, accessed on March 28,2005.337 HCPF, “Assumptions and Calculations FY 05-06 Budget Request,” November 1, 2004, pp. M85-86.338 Colorado State Constitution, Article X, Section 21 “Tobacco Taxes for Health Related Purposes.”339 As of April 22, 2005, HB05-1262 has passed the House of Representatives, the Senate Health and HumanServices Committee, and as of this writing awaits debate in the Senate Appropriations Committee.340 Colorado Legislative Council Staff, “HB05-1262 State and Local Revised Fiscal Impact,” Drafting Number LLS05-0339, Prime Sponsors Rep. Boyd and Sen. Hagedorn; Bill Status: House Third Reading, April 5, 2005, pg. 3.341 Colorado General Assembly, House of Representatives, Second Reading of HB05-1262, testimony of House billsponsor, Representative Betty Boyd, D-Jefferson County, April 5, 2005.342 Colorado General Assembly, First Regular Session, Sixty-fifth General Assembly, HB05-1262 Engrossed (thisversion includes all amendments adopted on Second Reading in the House of Introduction), House Sponsorship:Boyd and Buescher, Senate Sponsorship: Hagedorn, Sandoval, Tochtrop, Williams, and Windels.343 Colorado Legislative Council Staff, “HB05-1262 State and Local Revised Fiscal Impact,” Drafting Number LLS05-0339, Prime Sponsors Rep. Boyd and Sen. Hagedorn; Bill Status: House Third Reading, April 5, 2005; ColoradoGeneral Assembly, House of Representatives, Second Reading of HB05-1262, testimony of House bill sponsor,Representative Betty Boyd, D-Jefferson County, April 5, 2005.344 HCPF, “Assumptions and Calculations FY 05-06 Budget Request,” November 1, 2004, p. M-86.C-44
345 Kaiser Family Foundation, Maine: Population Distribution by Insurance Status, state data 2002-03, U.S. 2003,available at http://www.statehealthfacts.org/cgi-bin/healthfacts.cgi?action=profile&area=Maine&category=Health+Coverage+%26+Uninsured&subcategory=Insurance+Status&topic=Distribution+by+Insurance+Status, accessed March 2, 2005.346 Kaiser Family Foundation, Maine: Population Distribution by Insurance Status, state data 2002-03, U.S. 2003,available at http://www.statehealthfacts.org/cgi-bin/healthfacts.cgi?action=profile&area=Maine&category=Health+Coverage+%26+Uninsured&subcategory=Insurance+Status&topic=Distribution+by+Insurance+Status, accessed March 2, 2005.347 Kaiser Family Foundation, Maine: Distribution of Total Population by Federal Poverty Level, state data 2002-03, U.S. 2003, available at http://www.statehealthfacts.org/cgi-bin/healthfacts.cgi?action=profile&area=Maine&category=Demographics+and+the+Economy&subcategory=People+in+Poverty&topic=Distribution+by+FPL, accessed March 2, 2005.348 Rachel Garfield, Understanding MaineCare: A Chartbook about Maine’s Medicaid Program (Governor’s Officeof Health Policy and Finance, Augusta, Maine, January 2005, p. 11), available at http://www.dirigohealth.maine.gov/MaineCare%20Chartbook%201-6-05.pdf, accessed April 6, 2005.349 Kaiser Family Foundation, Maine: Medicaid Spending, available at http://www.statehealthfacts.kff.org/cgibin/healthfacts.cgi?action=profile&category=Medicaid+%26+SCHIP&subcategory=Medicaid+Spending&topic=&link_category=&link_subcategory=&link_topic=&welcome=0&area=Maine, accessed April 6, 2005.350 Kaiser Family Foundation, Maine: Medicaid Spending, available at http://www.statehealthfacts.kff.org/cgibin/healthfacts.cgi?action=profile&category=Medicaid+%26+SCHIP&subcategory=Medicaid+Spending&topic=&link_category=&link_subcategory=&link_topic=&welcome=0&area=Maine, accessed April 6, 2005.351 Rachel Garfield, Understanding MaineCare: A Chartbook about Maine’s Medicaid Program (Governor’s Officeof Health Policy and Finance, Augusta, Maine, January 2005, p. 11), available at http://www.dirigohealth.maine.gov/MaineCare%20Chartbook%201-6-05.pdf, accessed April 6, 2005.352 Kaiser Family Foundation, Maine: Medicaid Spending, available at http://www.statehealthfacts.kff.org/cgibin/healthfacts.cgi?action=profile&category=Medicaid+%26+SCHIP&subcategory=Medicaid+Spending&topic=&link_category=&link_subcategory=&link_topic=&welcome=0&area=Maine, accessed April 6, 2005.353 Kaiser Commission on Medicaid and the Uninsured, Medicaid Benefits, as of January 2003, available athttp://www.kff.org/medicaidbenefits/state-ME.cfm, accessed April 6, 2005.354 Kaiser Family Foundation, SCHIP Matching Rate, available at http://www.statehealthfacts.kff.org/cgibin/healthfacts.cgi?action=profile&area=Maine&category=Medicaid+%26+SCHIP&subcategory=SCHIP&topic=Federal+Matching+Rate, accessed April 6, 2005.355 Kaiser Family Foundation, SCHIP Expenditures, FFY2002, available at http://www.statehealthfacts.kff.org/cgibin/healthfacts.cgi?action=profile&area=Maine&category=Medicaid+%26+SCHIP&subcategory=SCHIP&topic=SCHIP+Expenditures, accessed April 6, 2005.356 Kaiser Family Foundation, Current Monthly SCHIP Enrollment, January 2003, available athttp://www.statehealthfacts.kff.org/cgi-bin/healthfacts.cgi?action=profile&area=Maine&category=Medicaid+%26+SCHIP&subcategory=SCHIP&topic=Enrollment, accessed April 6, 2005.357 State Coverage Initiatives, State of the States: Finding Alternate Routes (Academy Health, January 2005, p. 17),available at http://www.statecoverage.net/pdf/stateofstates2005.pdf, accessed March 30, 2005.358 Centers for Medicare and Medicaid Services, Health Insurance Flexibility and Accountability (HIFA) InitiativeFact Sheet, November 12, 2002, available at http://www.cms.hhs.gov/hifa/mecarefs.pdf, accessed April 26, 2005.359 Centers for Medicare and Medicaid Services, Maine HIV/AIDS Demonstration Fact Sheet, November 24, 2003,available at http://www.cms.hhs.gov/medicaid/1115/mehivfct.pdf, accessed April 26, 2005.360 Jill Rosenthal and Cynthia Pernice, Dirigo Health Reform Act: Addressing Health Care Costs, Quality, andAccess in Maine (Portland, ME: National Academy for State Health Policy, June 2004), p. 1.C-45
Page 3 and 4:
Appendix ATask Force Members and St
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Hector Balcazar, Ph.D.Regional Dean
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Charles Haley, M.D., M.S.Medical Di
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Michael McKinney, M.D.Senior Execut
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M. Roy Wilson, M.D.PresidentTexas T
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Appendix BMedicaid and the State Ch
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services. There are two broad types
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Mandatory and Optional Covered Popu
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• Nurse-midwife services;• Fede
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Disproportionate Share Hospital Pro
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March 13, 2001, that limited the am
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year from FFY 2002-2004, $4.05 bill
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Medicaid beneficiaries. Section 191
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started in 2001 and 2002 to curb in
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urban and with fewer than 250,000 p
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Protection Act of 2000 and the Medi
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orientation). Recipients of Supplem
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enrollee is assigned a primary care
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Table 7. Texas Medicaid Policy Chan
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Table 8. Texas SCHIP Policy Changes
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families (through the employer’s
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share of the match must come from t
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Reinstating the Medically Needy Spe
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Endnotes1 Texas Health and Human Se
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35 Powers, Pyles, Sutter, and Vervi
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73 Office of Management and Budget,
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113 TexCare, Children’s Health In
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150 Lyndon B. Johnson School of Pub
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States by Groupings with Current El
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Medicaid and the State Children’s
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Graduate Medical Education ProgramA
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needs, however, there is a shortage
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15 Texas Association of Counties,
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ecording and evaluation; physical e
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Medicaid and the State Children’s
Page 74 and 75: ReferencesAmerican Academy of Pedia
Page 76 and 77: downloads/bipa.pdf#search='Medicare
Page 78 and 79: Texas Health and Human Services Com
Page 80 and 81: Appendix CAn Analysis of Reform Opt
Page 82 and 83: Encouraged by these low rates, Cong
Page 84 and 85: Establishing state-only tax incenti
Page 86 and 87: New York passed the Health Care Ref
Page 88 and 89: Hospital Cost Containment — Maryl
Page 90 and 91: dollar spent. 237 Texas spent almos
Page 92 and 93: Another option for small businesses
Page 94 and 95: • Medical equipment and supplies,
Page 96 and 97: pay the premiums for Medicaid benef
Page 98 and 99: Medicaid to children born after Sep
Page 100 and 101: Bill of Rights or “TABOR”; and
Page 102 and 103: The federal share for CHP+ is 65 pe
Page 104 and 105: SCHIP: increased eligibility in CHP
Page 106 and 107: • Medical equipment and supplies
Page 108 and 109: 6. Funds obtained through the recov
Page 110 and 111: Status ReportMaineCare Program Expa
Page 112 and 113: the federal poverty level. 404 Sinc
Page 114 and 115: need their jobs as a source of empl
Page 116 and 117: Endnotes191 Deborah Chollet, Issue
Page 118 and 119: 225 Ibid.226 Maryland Health Care C
Page 120 and 121: 259 Kaiser Family Foundation, State
Page 122 and 123: SCHIP&subcategory=Medicaid+Spending
Page 126 and 127: 361 State Coverage Initiatives, Sta
Page 128 and 129: SCHIP&subcategory=SCHIP&topic=Feder
Page 130 and 131: An Analysis of Reform Options Devel
Page 132 and 133: ReferencesAdvantage Insurance and F
Page 134 and 135: Donnell-Kay Foundation. “Amendmen
Page 136 and 137: Kaiser Family Foundation. Demograph
Page 138 and 139: State Coverage Initiatives. Profile
Page 140 and 141: Appendix DLocal Initiatives to Expa
Page 142 and 143: with more coordinated services that
Page 144 and 145: FinancingSources of revenue include
Page 146 and 147: AdministrationThe Health and Hospit
Page 148 and 149: Until 1993, Denver Health (DH) was
Page 150 and 151: different benefit plans are offered
Page 152 and 153: Cost SharingPatient cost-sharing is
Page 154 and 155: management programs. I-Care promote
Page 156 and 157: the county indigent care plan. Bene
Page 158 and 159: Firstplan xxvi,12Moore County, Mich
Page 160 and 161: Benefits and ServicesEnrollees can
Page 162 and 163: EligibilityAs of 2005, enrollment i
Page 164 and 165: etween $23 and $120 per month. Ther
Page 166 and 167: Healthcare Accountability Act xxxvi
Page 168 and 169: Coordination - When health care age
Page 170 and 171: subsidized initiatives offer exposu
Page 172 and 173: arriers, two health plans attempted
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xxi Simmons, Sandy Coe, Gionfriddo,
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Table 1 (Continued). Local Care Ini
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Table 2 (Continued). Local Coverage
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Appendix EEducation and Health:A Re
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The human capital approach suggests
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etween standardized test scores (St
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INTRODUCTIONEducation plays a wide
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of children with chronic health con
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Implications. Given the current pre
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DiabetesPrevalence. Diabetes in chi
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Limitations. The cross-sectional de
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chronic lung disease, cystic fibros
Page 198 and 199:
significant differences between tho
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Table 1. Prevalence of Selected Chr
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findings of lower test scores are b
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al (McKewen et al., 1998) report a
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Section 3. School-Based Interventio
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mathematics, science and oral expre
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Table 4. Summary of Research Findin
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etween SES and health is a dose-res
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Self-Rated Health. Evidence accumul
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economic hardship. One of the skill
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Education also improves the stabili
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sex in the expectation of a more pr
Page 222 and 223:
TABLE 6. SUMMARY OF EXPLANATIONS FO
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According to the Census 2000 data,
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Policy Reports Recommendations (Tot
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Section 2. Recommendations on Schoo
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Childhood ConditionsSchool-based Pr
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Childhood ConditionsDiabetes (n=11)
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eduction in reading test scores com
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Table 10. Estimates of the Cost of
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National Asthma Education and Preve
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REFERENCESAck, M., Miller, I., & We
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Elo, I. T., & Preston, S. H. (1996)
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Kaemingk, K. L., Pasvogel, A. E., G
Page 246 and 247:
Miller, D. S., & Miller, T. Q. (199
Page 248 and 249:
Ross, C. E., & Wu, C. L. (1996). Ed
Page 250 and 251:
Williams, D. R. (1990). Socioeconom
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SAMPLE, DESIGN, & INTERVENTIONACHIE
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SAMPLE, DESIGN, & INTERVENTIONStudy
Page 256 and 257:
Page 258 and 259:
Page 260 and 261:
Page 262 and 263:
Page 264 and 265:
Page 266 and 267:
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SICKLE CELL ANEMIAArmstrong(1996)SA
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SAMPLE, DESIGN, & INTERVENTIONSickl
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SAMPLE, DESIGN, & INTERVENTIONhemog
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Page 278 and 279:
SAMPLE, DESIGN, & INTERVENTIONStudy
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Curriculum Content: Statute §28.00
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• HEALTH PROMOTING ENVIRONMENTSch
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• COORDINATION/IMPLEMENTATIONCoor
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Education and Health: A Review and
Page 288 and 289:
Appendix FState Regulation of Healt
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coverage they offer. 14 By 2004 onl
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poor health may make coverage more
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account for most, or even much, of
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More active state intervention in t
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Table 3 (GAO Appendix IV) shows whi
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Appendix GEmergency and Trauma Care
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The treatment of shock prior to sur
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the EMS needs in rural areas of the
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Level IV trauma centers should be a
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Table 2. Trends in Trauma Severity,
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the hospitals were on diversion or
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Representative Delisi was successfu
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Mental Health Access ChallengesCare
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fhttp://www.techproservices.net/his
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oohttp://www.saveourers.org/reports
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Appendix HBrief: Consulate ClinicDe
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In addition, the roundtable discuss
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clinic(s) affiliated with medical s
Page 326 and 327:
Appendix ICommon Abbreviations
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HMOHRQOLHRSAICF/MRIHCTAIOMISSLBBLIU
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Appendix JPresentersDate/Location:
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Appendix KProvider Taxes: A Differe
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were previously categorized as char
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