The All Healthy Children Act

"…[T]here is an urgent need for expanded health care coverage for children, and that’s why I introduced... the All Healthy Children Act. That act has been endorsed by the Children's Defense Fund. It's a logical, smart, and achievable incremental next step to close the child coverage gap and guarantees that all children will have access to health care coverage that they need to survive, thrive, and learn."
- Congressman Bobby Scott, July 16, 2007, when he introduced the bill in the 110th Congress. He re-introduced it in the 111th Congress.  
(Read Rep. Scott's full floor statement)

The children’s health care system in America must be reformed and coverage be provided to every child in 2009.

Every step we take to improve the lives of children, strengthens America.   Our nation’s future – especially our economic security -- requires real health care reform in 2009. The All Healthy Children Act (H.R.747) represents real child health reform and includes what children need.

Who Would Be Eligible?

• All children through age 18 with family incomes at or below 300% of the federal poverty level ($63,600 for a family of four in 2008). Children with family incomes over 300% could buy into the program.
• Pregnant women at or below 300% of the federal poverty level would be eligible for prenatal, delivery and post-partum care for at least 60 days after birth.
• Youth who have transitioned from the foster care system through age 20, and other children with special needs.

What Benefits Would Be Included?

• All children would receive comprehensive coverage for all medically necessary care equivalent to current Medicaid benefits.

What Would Be the Cost for Families?

• Children in families with incomes at or below 200% of the federal poverty level ($44,100 for a family of four in 2009) would pay nothing for coverage or services.
• Children in families with incomes between 201% and 300% of the federal poverty level would have no premiums for coverage and would have nominal co-payments for service.
• Children in families with incomes over 300% of the federal poverty level would pay both premiums for coverage and some affordable amount for services.

How Would the All Healthy Children Act (H.R. 747) Streamline Enrollment?

• All children currently enrolled in Medicaid or CHIP would be enrolled automatically.
• All children currently receiving services under certain federal assistance programs like school lunch and food stamps would be enrolled automatically with an opportunity for families to "opt out."
• All parents would also have the option to enroll their child at birth, school registration, or issuance of a Social Security card.
• Applications would be short and simple to complete, and obstacles to enroll and stay enrolled would be eliminated.

What Would Be the Cost to States?

States would incur no additional cost for expanding coverage and enhancing benefits or for increased provider reimbursement rates. Those costs would be borne by the federal government.

Other Key Provisions of the All Healthy Children Act (H.R. 747)

• All eligible children would be guaranteed coverage under this program regardless of their state of residence.
• To improve children's access to health and mental health services, payment to health care providers would be increased at least 80% of private insurance payment rates (approximately the same level as Medicare).