Rio Grande Guardian

4/29/2008

CDF-RGV welcomes new campaign to insure every Texas child

PHARR, April 30 - A leading advocate for children’s health care in the Rio Grande Valley has welcomed an initiative to provide health insurance to all Texas children.


Luisa Saenz, director of the Children’s Defense Fund-Rio Grande Valley, said the Texas Finish Line Campaign sought to influence state lawmakers in the run-up to the 2009 legislative session.


“We are looking for more positive changes from the legislature, as we got in 2007. That helped increase the number of enrolled children by 109,000. With more positive action we can get even more children insured. We want every child in Texas insured,” Saenz told the Guardian.


Saenz said the CDF-RGV and the Children's Health Coalition would have a crucial role to play in the new campaign.


The campaign has been launched by the Children’s Defense Fund of Texas, the Center for Public Policy Priorities, Texans Care for Children, and a collaboration of policy makers, advocates, and business leaders.


Saenz said the campaign will build on the successes of the 2007 legislative session so that affordable, comprehensive health insurance for every Texas child is achieved.


Saenz said this could be achieved by enrolling all eligible uninsured kids by eliminating bureaucratic roadblocks, and reaching more uninsured kids by letting families "buy into" the Children's Health Insurance Program (CHIP) by paying a health care premium for CHIP that increases as their income increases.


Saenz had hoped to be in Austin for the launch of the new campaign but could not make it.


“In Texas, 1.5 million children are uninsured, the highest rate in the nation,” Saenz said. “And, the Rio Grande Valley has the highest rate of uninsured kids in the state, based on U.S. Census estimates, because we are 98 percent Hispanic. We have 131,624 uninsured, based on the 2006 population.”


According to the Texas Health and Human Services Commission, there are about 406,000 children under 18 in the four-county Valley region. HHSC says about 68,000 of these children are eligible for CHIP or Children’s Medicaid. Saenz said of these, just under 23,000, or 32.4 percent, are uninsured.


Last August, at the start of the school year, the Children’s Health Coalition in the Valley launched a campaign to get coverage up to the peak figures reached in 2003, before the legislature made drastic cuts in the CHIP program. At its peak in the Valley, CHIP covered 46,200 children, Saenz said.


By April 1, the CHC campaign had signed up 33,386 children for CHIP, which leaves just under 13,000 to go to reach the target figure.


The big problem, Saenz said, has been the “bureaucratic red tape” in Austin. As fast as children were being signed up, Health and Human Services was un-enrolling children, she said. “At the same time we were adding 25,000 children to the CHIP rolls, the state was disenrolling 17,000 children,” Saenz said. “We only gained 8,000.”


Things have improved over the past couple of months though, because HHSC decided to go back to 12 month eligibility, rather than six, Saenz said.


“The highest new enrollment across the state has been in Harris County and the Rio Grande Valley. Here there has been a 25 percent increase. That’s because the Children’s Defense Fund is leading the way,” Saenz said.


“We also attribute the success to the fantastic collaboration among the agencies and the community non-profit groups that have the well-being of the children as their top priority.”


Saenz also paid tribute to the business, faith-based, and civic groups that have helped, citing the work of CHC, CDF-RGV, and community based organizations designated to do outreach, such as Nuestra Clinica del Valle, Su Clinica Familia, and Brownsville Community Center.


“We have taken the lead in reaching out to the families of every eligible child to use the benefits for preventative care and to ensure that every child has a medical home,” Saenz said.


“We are excited at the momentum for new enrollments of Texas children and Rio Grande Valley children and we will continue to work diligently until every Texas child is insured.”


Saenz said the 2003 CHIP cuts, pushed through by the Republican-controlled legislature and supported by some Democrats, was devastating for the Valley. “They cut funding, made it harder to enroll, insisted on a six-month renewal process, created a ton of paperwork, imposed an assets test, and took away adult care,” she said.


In 2007, the legislature passed HB 109, which reinstated the 12-month enrollment process, eliminated the 90-day waiting period for new applicants, and eased income limits, such as requiring families to include their cars when totaling their assets.


Thanks largely to the 2007 legislation, CHIP enrollment has increased by 109,000 in just eight months.


“Every Texan wins when our state's children can get the care they need, when they need it,” said Barbara Best, executive director of the Children’s Defense Fund of Texas.


“Texas kids win when they are healthy and in school. Parents win because they miss fewer days of work caring for sick children, and taxpayers and businesses win when Texas' health care system provides cost-effective preventive care instead of costly emergency room care after untreated conditions become severe.”


Lan Bentsen, co-founder of a Texas-based international oil and gas company and the co-chair of the Children’s Defense Fund Advisory Board, said he welcomed the new statewide campaign to get every child insured.


“Providing cost effective health coverage for children is the basis of a good business plan,” Bentsen said. “It does not make fiscal sense to leave one out of every five children uninsured when, instead of getting preventive care, these kids turn to emergency rooms for treatment. Costly uncompensated health care costs are then absorbed by local tax payers and individuals though increased premiums.”