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Model Application Template for the State Children’s Health Insurance Program

Effective Date:

Approval Date: 8 Section 2. General Background and Description of State Approach to Child Health Coverage and Coordination (Section 2102 (a)(1)- (3)) and (Section 2105)(c)(7)(A)-(B))

2.1. Describe the extent to which, and manner in which, children in the state including targeted low-income children and other classes of children, by income level and other relevant factors, such as race and ethnicity and geographic location, currently have creditable health coverage (as defined in 42 CFR 457.10). To the extent feasible, make a distinction between creditable coverage under public health insurance programs and public- private partnerships (See Section 10 for annual report requirements). (42 CFR 457.80(a)) Prior to implementation of CHIP in 1998, approximately 870,000 children in the state of Oregon were under the age of 19. About 92 percent of them, 800,000, had health insurance coverage of some form. Children of Hispanic or racial minority origin are more likely than their Caucasian counterparts to be uninsured. Fourteen percent of Hispanic children and 9 percent of other minority children are uninsured, compared with only 7 percent of Caucasian children. Most uninsured children live in households earning less than $25,000 per year, while median household income for all children in the state is more than $40,000 per year.

The economic conditions of the state and nation reflect an increase in the number of uninsured. The 2006 Oregon Population Survey (OPS) shows 12.6% of children under age 19 lacked health insurance coverage last year compared to 13% in 2004 and 10.6% in 2002. The table below compares number of uninsured children by Federal Poverty Level (FPL).

<100% 100-135% 135-150% 150-185% 186-200% >200% Age 0-4 Total 35,817 13,567 9,226 15,195 11,668 148,695 Age 0-4 insured 32,021 12,129 8,248 13,584 10,431 132,934 Age 0-4 uninsured 3,797 1,438 978 1,611 1,237 15,762 Age 5-9 Total 37,076 14,044 9,550 15,729 12,078 153,923 Age 5-9 insured 33,146 12,555 8,538 14,062 10,798 137,608