State Children's Health Insurance Program, 6347-6348 [E9-2721]

Download as PDF Federal Register / Vol. 74, No. 24 / Friday, February 6, 2009 / Presidential Documents 6347 Presidential Documents Memorandum of February 4, 2009 State Children’s Health Insurance Program Memorandum for the Secretary of Health And Human Services The State Children’s Health Insurance Program (SCHIP) encourages States to provide health coverage for uninsured children in families whose incomes are too high to qualify for Medicaid but too low to afford private insurance. Since 1997, when SCHIP was enacted, States have had the authority to set their SCHIP income eligibility levels, subject to available funding. In recent years, as the cost of private insurance has increased, States have raised eligibility levels to offer health care coverage to more families, with families paying a share of the cost based on their income. On August 17, 2007, the Centers for Medicare & Medicaid Services (CMS) issued a letter to State health officials limiting the flexibility of States to set income eligibility standards for their SCHIP programs. On May 7, 2008, CMS issued a subsequent letter restating the policy set forth in the August 17, 2007, letter. The August 17, 2007, letter imposes additional requirements that States must meet in order to cover children under SCHIP plans, including plans that CMS had previously approved. These requirements have limited coverage under several State plans that otherwise would have covered additional, uninsured children. As a result, tens of thousands of children have been denied health care coverage. Unless the August 17, 2007, letter is withdrawn, many more children will be denied coverage. dwashington3 on PROD1PC60 with RULES5 By this memorandum, I request that you immediately withdraw the August 17, 2007, and May 7, 2008, letters to State health officials and implement SCHIP without the requirements imposed by those letters. VerDate Nov<24>2008 13:26 Feb 05, 2009 Jkt 217001 PO 00000 Frm 00001 Fmt 4790 Sfmt 4790 E:\FR\FM\06FEO0.SGM 06FEO0 6348 Federal Register / Vol. 74, No. 24 / Friday, February 6, 2009 / Presidential Documents This memorandum does not create any right or benefit, substantive or procedural, enforceable at law or in equity by any party against the United States, its departments, agencies, or entities, its officers, employees, or agents, or any other person. You are hereby authorized and directed to publish this memorandum in the Federal Register. THE WHITE HOUSE, Washington, February 4, 2009 [FR Doc. E9–2721 Filed 2–5–09; 12:00 pm] VerDate Nov<24>2008 13:26 Feb 05, 2009 Jkt 217001 PO 00000 Frm 00002 Fmt 4790 Sfmt 4790 E:\FR\FM\06FEO0.SGM 06FEO0 OB#1.EPS</GPH> dwashington3 on PROD1PC60 with RULES5 Billing code 4110–60–P

Agencies

[Federal Register Volume 74, Number 24 (Friday, February 6, 2009)]
[Presidential Documents]
[Pages 6347-6348]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-2721]




                        Presidential Documents 



Federal Register / Vol. 74, No. 24 / Friday, February 6, 2009 / 
Presidential Documents

[[Page 6347]]


                Memorandum of February 4, 2009

                
State Children's Health Insurance Program

                Memorandum for the Secretary of Health And Human 
                Services

                The State Children's Health Insurance Program (SCHIP) 
                encourages States to provide health coverage for 
                uninsured children in families whose incomes are too 
                high to qualify for Medicaid but too low to afford 
                private insurance. Since 1997, when SCHIP was enacted, 
                States have had the authority to set their SCHIP income 
                eligibility levels, subject to available funding. In 
                recent years, as the cost of private insurance has 
                increased, States have raised eligibility levels to 
                offer health care coverage to more families, with 
                families paying a share of the cost based on their 
                income.

                 On August 17, 2007, the Centers for Medicare & 
                Medicaid Services (CMS) issued a letter to State health 
                officials limiting the flexibility of States to set 
                income eligibility standards for their SCHIP programs. 
                On May 7, 2008, CMS issued a subsequent letter 
                restating the policy set forth in the August 17, 2007, 
                letter.

                 The August 17, 2007, letter imposes additional 
                requirements that States must meet in order to cover 
                children under SCHIP plans, including plans that CMS 
                had previously approved. These requirements have 
                limited coverage under several State plans that 
                otherwise would have covered additional, uninsured 
                children. As a result, tens of thousands of children 
                have been denied health care coverage. Unless the 
                August 17, 2007, letter is withdrawn, many more 
                children will be denied coverage.

                 By this memorandum, I request that you immediately 
                withdraw the August 17, 2007, and May 7, 2008, letters 
                to State health officials and implement SCHIP without 
                the requirements imposed by those letters.

[[Page 6348]]

                 This memorandum does not create any right or benefit, 
                substantive or procedural, enforceable at law or in 
                equity by any party against the United States, its 
                departments, agencies, or entities, its officers, 
                employees, or agents, or any other person.

                 You are hereby authorized and directed to publish this 
                memorandum in the Federal Register.
                
                
                    (Presidential Sig.)

                THE WHITE HOUSE,

                    Washington, February 4, 2009

[FR Doc. E9-2721
Filed 2-5-09; 12:00 pm]
Billing code 4110-60-P