| Plan |
McConnell Kids First Act S. 2152 | |
| Date |
August 2007 | |
| Overall Approach |
No - provides coverage for low-income children currently covered by CHIP plus an additional 1.3 million additional low-income children | |
| Universal Coverage |
No | |
| Guaranteed Coverage |
N/A | |
| Portability |
N/A | |
| Voluntary Employer-Based System |
N/A | |
| New Programs |
N/A | |
| Expansion of Existing Public Programs/Federal Law |
Creation of a national enrollment campaign to improve the enrollment of underserved child populations | |
| Insurance Pool |
N/A | |
| State Responsibility |
Requires states to determine family income eligibility solely on the basis of the family's gross income
Allows states to elect to offer a premium assistance subsidy for qualified employer sponsored coverage to all targeted low-income children
Allows any state the option to include an unborn child as a child under SCHIP
Provides $400 million in grants for outreach and enrollment of low-income children who are eligible not currently not covered | |
| Individual Mandate |
N/A | |
| Employer Mandate |
N/A | |
| Private Insurance Mandates |
Not addressed | |
| Individual Subsidies |
N/A | |
| Individual Vouchers |
No | |
| Employer Subsidies |
Allows state to offer a premium assistance subsidy for qualified employer sponsored coverage to all targeted low-income children eligible | |
| Individual Plan/Provider Choice |
No | |
| National Health Board |
N/A | |
| Tax Changes |
N/A | |
| Premium/Co-Pay/Deductible |
Not addressed | |
| Health Quality Improvement |
Not addressed | |
| Information Technology / Electronic Medical Records |
Not addressed | |
| Individual Responsibility for Health and Lifestyle |
N/A | |
| Preventive care |
Not addressed | |
| Transparency |
Not addressed | |
| Drug Reimportation |
N/A | |
| Medicare Rx Drug Price Negotiation |
N/A | |
| Medical Personnel Education |
N/A | |
| Mental Health Parity |
Not addressed | |
| Other Provisions |
Authorizes the creation of Small Business Health Plans, allowing small businesses to band together across state lines to provide health coverage | |
| Cost |
$40 billion over 5 years | |
| Cost Containment |
Limits matching rates for populations other than targeted low-income children or pregnant women
Prohibits coverage for any adult other than a pregnant woman
Requires states to determine family income eligibility solely on the basis of the family's gross income
Repeals current variable federal payment rates for Medicaid administrative costs and prescribes a flat 50% rate for all such costs
Requires a 25% reduction in payments for Medicaid administrative costs | |
| Financing |
Not addressed | |
| Source |
Press Release, "The Kids First Act," Republican Majority Leader Mitch McConnell, Aug. 1, 2007
S. 2152, Library of Congress - Thomas Website, Oct. 4, 2007
Press Release, "Enzi Offering New Bill That Focuses On Low Income Children," Senate Health, Education, Labor and Pensions (HELP) Committee Ranking Member Mike Enzi, Oct. 18, 2007 | |
