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Table 6. Texas Children’s Health Insurance Program Average Caseloadsand Total Costs, 2000-2005Fiscal YearAverage Total Cost (excludingCaseload vendor drug program)2000 28,300 $10,549,3192001 251,575 $281,532,6242002 497,705 $574,831,5392003 506,968 $535,328,8752004 409,865 $385,363,1092005 351,849 $333,112,273Source: Texas Health and Human Services Commission, “CHIP Caseload and Cost 200409- LBJ School.xls”(Excel spreadsheet, January 2005).Notes: Prior to FY 2004, cost estimates include premiums, prescription drug (until March 2002), retroactiveadjustments and supplemental delivery payments. Beginning in FY 2004, costs include premiums, retroactiveadjustments, delivery supplemental payments, EPO settle-up payments, supplementals, and vaccinations. FY2005 costs are similar to FY 2004 except that FY 2005 contains stoploss insurance payments and EPO settle-uppayments.The services that SCHIP beneficiaries can receive in Texas are the following:• Doctor, hospital, x-ray, and lab services;• Well-baby and well-child visits;• Immunizations;• Prescription drugs;• Durable medical equipment and prosthetic devices ($10,000 limit per enrollment period);• Case coordination and enhanced services for children with special health care needsand children with disabilities;• Physical, speech, and occupational therapy;• Home health care;• Transplants;• Limited mental health services;• Services that cover pre-existing conditions. 117Recent Legislative Changes in Texas Medicaid and SCHIPThe 78th Texas Legislature modified many aspects of Medicaid and SCHIP in 2003 in order tocut costs due to the large shortfall projected for the state’s budget. Besides directing theconsolidation of the state’s health and human services agencies, House Bill 2292 contained anumber of measures designed to save money in Medicaid and SCHIP, mostly by targetingeligibility and benefit reductions. 118 Medicaid changes due to the 2003 legislation are listed inthe following table, along with the cuts that were restored in September 2004 after theLegislative Budget Board and the Governor approved HHSC’s 2004-2005 budget package inAugust 2004. 119B-25