| 00:00:03 |
Orgel, Paul - Host
A FEATURE SEGMENT TO PUT A SPOTLIGHT ON THE FEDERAL PROGRAM WITH A SPECIAL FOCUS ON ITS MISSION, PARTICIPANTS, AND HOW MUCH IT COSTS. TODAY'S SEGMENT...
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| 00:00:38 |
Artiga, Samantha - Associate Director
WAS ENACTED IN 1997. IT WAS DESIGNED AS A BIPARTISAN PIECE OF LEGISLATION TO FILL THE GROWING GAP FOR CHILDREN WHOSE FAMILIES EARN TOO MUCH TO QUALIFY...
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| 00:01:53 |
Orgel, Paul - Host
THE NUMBERS WERE ABOUT 4.6 MILLION KIDS THAT WERE ENROLLED. IN 2005, IT WENT UP TO 6.9 MILLION. DO YOU SEE THE NEED GROWING AROUND THE COUNTRY? GUEST:...
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| 00:02:09 |
Artiga, Samantha - Associate Director
HAS BEEN GOING THROUGH ECONOMIC DECLINE, FAMILIES HAVE BEEN LOSING JOBS AND EXPERIENCING DECREASES IN INCOME. WE SEE AN INCREASED NEED FOR PROGRAMS...
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| 00:02:54 |
Orgel, Paul - Host
IS THE ASSOCIATE DIRECTOR OF THE KAISER FAMILY FOUNDATION ON MEDICAID AND THE UNINSURED. WE WILL PUT THE PHONE NUMBERS ON THE BOTTOM OF THE SCREEN FOR...
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| 00:03:31 |
Artiga, Samantha - Associate Director
AND FEDERAL PARTNERSHIP. THEY SHARE COSTS FOR THE PROGRAM. STATES ADMINISTER THE PROGRAM WITHIN A BROAD SET OF FEDERAL GUIDELINES. THE PROGRAM HAS BEEN...
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| 00:04:11 |
Orgel, Paul - Host
RANGE ARE WE TALKING ABOUT? GUEST: IN GENERAL,
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| 00:04:17 |
Artiga, Samantha - Associate Director
KIDS 0 THROUGH 19. THERE IS VARIATION ACROSS THE COUNTRY IN TERMS OF WHICH CHILDREN WILL BE ELIGIBLE FOR THE PROGRAM. MOST STATES COVER CHILDREN UP TO...
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| 00:04:49 |
Orgel, Paul - Host
ACTIVITY AS OF SEPTEMBER LAST YEAR. THE MAP IS SEPARATED INTO THREE DIFFERENT COLORS. BLUE SHOWS SEPARATE HEALTH CARE PLANS IN 17 STATES. GIVE US MORE...
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| 00:05:13 |
Artiga, Samantha - Associate Director
ASPECTS OF THE PROGRAM IS THAT IT PROVIDES STATES A LOT OF CONTROL OVER DESIGN AND OPERATION CHOICES. ONE OF THE KEY CHOICES IS HOW THEY STRUCTURE THE...
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| 00:06:15 |
Orgel, Paul - Host
ARE THE COMBINATION STATES. THERE ARE 26 OF THEM. SAN ANTONIO, TEXAS, MARTHA, A DEMOCRAT, YOU ARE ON WITH SAMANTHA ARTIGA. CALLER: WHEN THE
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| 00:06:37 |
CALLER, -
CHILDREN GET INSURED, DO THE PARENTS HAVE A JOB OR NOT? AT THE END, SOMETIMES THEY HAVE TO PAY PENALTIES. WHY IS IT THAT THE GOVERNMENT CHARGES A PENALTY...
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| 00:07:49 |
Orgel, Paul - Host
INSIGHT FROM OUR GUEST. GUEST: I AM NOT
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| 00:07:53 |
Artiga, Samantha - Associate Director
SURE WHICH PENALTY SHE IS REFERRING TO. SHE COULD BE REFERRING TO THE FACT THAT WHEN THE HOUSE REFORMED SOME KEY PROVISIONS FOR 2014, INDIVIDUALS WILL...
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| 00:09:27 |
Orgel, Paul - Host
WHAT SERVICES ARE COVERED UNDER CHIP AND WHAT IS NOT COVERED? GUEST: STATES HAVE A
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| 00:09:35 |
Artiga, Samantha - Associate Director
LOT OF DISCRETION OVER HOW THEY OPERATE THE PROGRAMS. EACH MAKE THEIR OWN DECISIONS ABOUT WHAT THE BENEFIT PACKAGE WILL LOOK LIKE WITHIN BROAD FEDERAL...
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| 00:10:06 |
Orgel, Paul - Host
WES IS A REPUBLICAN FROM LOUISIANA. CALLER: THE KAISER
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| 00:10:15 |
CALLER, -
FOUNDATION, IS THAT PART OF THE KAISER MEDICAL FACILITIES? GUEST: WE ARE
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| 00:10:21 |
Artiga, Samantha - Associate Director
AN INDEPENDENT OPERATING FOUNDATION. WE ARE NAMED AFTER THE SAME PERSON BUT HAVE NO AFFILIATION WITH THE KAISER HEALTH PLANS OR INDUSTRIES. WE'RE NOT...
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| 00:10:38 |
CALLER, -
RETIRED MILITARY. -- I AM RETIRED MILITARY. KAISER WILL NOT ACCEPT MEDICARE. I WAS WONDERING WHY THEY WILL NOT. THERE ARE MANY RETIRED MILITARY. HOST:...
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| 00:10:57 |
Orgel, Paul - Host
THAT IS RELEVANT TO OUR GUEST. WE'RE TALKING ABOUT THE CHILDREN'S HEALTH INSURANCE PROGRAM. ANYTHING ABOUT THAT? CALLER: MY CHILDREN ARE
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| 00:11:08 |
CALLER, -
ABOUT AS OLD AS I AM. HOST: LET'S HEAR
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| 00:11:12 |
Orgel, Paul - Host
FROM BARBARA IN KALAMAZOO. CALLER: I
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| 00:11:17 |
CALLER, -
AM IN FAVOR OF TAKING CARE OF CHILDREN. MY CONCERN IS WHAT CAN BE DONE TO STOP PEOPLE ON MEDICAID FROM USING THE E.R. AS THE PRIMARY DOCTOR REFERRAL....
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| 00:12:25 |
Artiga, Samantha - Associate Director
OVERWHELMING AMOUNT OF RESEARCH SHOWING THAT WOMEN CHILDREN GAIN COVERAGE THAT THEIR ACCESS TO CARE IMPROVES. THEY ARE LESS LIKELY TO GO WITHOUT NEEDED...
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| 00:14:10 |
Orgel, Paul - Host
DO ALL DOCTORS TAKE CHILDREN UNDER THE CHIP PROGRAM? GUEST: DOCTORS
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| 00:14:18 |
Artiga, Samantha - Associate Director
DO TAKE CHILDREN AT HIGH RATES. THERE ARE SOME CONCERNS ABOUT ACCESS FOR CERTAIN SPECIALTIES LIKE DENTAL CARE, BUT OVERALL ACCESS TO PROVIDERS IS GOOD...
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| 00:14:41 |
Orgel, Paul - Host
SOME PERSPECTIVE ON WHY ADULTS ARE ALLOWED TO PARTICIPATE. GUEST:
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| 00:14:50 |
Artiga, Samantha - Associate Director
THERE WAS A TIME WHEN SOME STATES RECEIVED SPECIAL PERMISSION TO EXTEND COVERAGE TO LOW INCOME PARENTS AND OTHER LOW-INCOME ADULTS. SINCE THEN, LEGISLATION...
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| 00:15:44 |
Orgel, Paul - Host
GO BACK TO THE PHONES. CALLER: MY QUESTION
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| 00:15:50 |
CALLER, -
AND CONCERN IS THAT PRESIDENT OBAMA'S PROGRAM PENALIZES CHRISTIAN ORGANIZATIONS FOR NOT WANTING TO KILL BABIES. THIS PROGRAM IS SUPPOSED TO HELP CHILDREN....
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| 00:16:24 |
Artiga, Samantha - Associate Director
NOT CERTAIN I UNDERSTAND THE QUESTION YOU ARE ASKING. THE REASON THIS PROGRAM WAS CREATED WAS TO PROVIDE HEALTH COVERAGE TO CHILDREN AND LOW AND MODERATE...
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| 00:16:55 |
Orgel, Paul - Host
GO TO CONNECTICUT. BETTY IS ON THE LINE FOR DEMOCRATS. CALLER: WHEN I FIRST
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| 00:17:04 |
CALLER, -
HEARD THEY WERE CHANGING THE INITIAL PLAN, I THOUGHT THEY WERE KIDDING ME. WE NEED TO REFORM CHILDREN'S HEALTH CARE RIGHT NOW. LAST SATURDAY, I WENT TO...
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| 00:17:33 |
Artiga, Samantha - Associate Director
CLARIFY WHAT YOU ARE REFERRING TO PREVIOUSLY? CALLER: 2005 TO NOW, WHAT
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| 00:17:45 |
CALLER, -
WOULD BE THE DIFFERENCE?
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| 00:17:49 |
Artiga, Samantha - Associate Director
GUEST: FOR CHILDREN SPECIFICALLY? CALLER: WHAT HAS
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| 00:17:54 |
CALLER, -
CHANGED FROM 2005 TO RIGHT NOW? GUEST: THEIR
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| 00:18:05 |
Artiga, Samantha - Associate Director
HOU -- THERE HAS BEEN INCREASING IN MOMENT AS FAMILIES HAVE HAD DECLINING INCOMES IN THE RECENT RECESSION. THE PROGRAM HAS GROWN. IT IS REMARKABLE TO...
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| 00:19:03 |
Orgel, Paul - Host
IS A BIG PART OF THE HEALTH CARE DISCUSSION AND DEBATE. WHAT IS HAPPENING? WHAT MIGHT THE OVERALL BENEFITS BE? GUEST: WE DID A SURVEY
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| 00:19:22 |
Artiga, Samantha - Associate Director
OF STATES LOOKING AT HOW TECHNOLOGY IS CHANGING HOW THEY OPERATE THE CHIP AND MEDICAID PROGRAMS. THE MAJORITY OF STATES ARE EMBRACING THE USE OF TECHNOLOGY...
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| 00:21:05 |
Orgel, Paul - Host
FROM JAMES IN ARKANSAS, A DEMOCRAT. CALLER: IN ARKANSAS WHEN
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| 00:21:14 |
CALLER, -
WE HAD A REPUBLICAN GOVERNOR MIKE HUCKABEE, THE PROGRAM IS NOW KNOWN AS AR KIDS FIRST. IT IS LIKE HITTING THE P-- PITTING THE POOR AGAINST THE POOR. IT...
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| 00:21:50 |
Artiga, Samantha - Associate Director
AS PART OF IMPLEMENTING THE CHIP PROGRAMS. AS STATES STARTED THE PROGRAMS, THE ONES WHO CREATED SEPARATE PROGRAMS BEGAN TO DESIGN INNOVATIVE STRATEGIES...
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| 00:23:11 |
Orgel, Paul - Host
THE REPUBLICAN LINE. CALLER: I AM STILL
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| 00:23:20 |
CALLER, -
REELING FROM YOUR PREVIOUS GUEST. I AM IN FLORIDA. I AM REGISTERED REPUBLICAN BUT DID NOT VOTE IN THE PRIMARY. I AM IN MY 50'S. MY DAUGHTER HAS INSURANCE....
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| 00:24:57 |
Orgel, Paul - Host
HOST: SHE FIRST MENTIONED SOMEONE WHO MIGHT BE 27. GUEST: LET'S TALK ABOUT
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| 00:25:03 |
Artiga, Samantha - Associate Director
THE AGE FIRST THEN I WILL TOUCH ON ENGAGEMENT WAS SCHOOLS. THE CHIP ELIGIBILITY IS LIMITED TO CHILDREN UNDER 19. SOME STATES HAVE WORKED TO EXTEND COVERAGE...
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| 00:26:43 |
Orgel, Paul - Host
MORE PERSPECTIVE. ARE SOME PARENTS REFUSING TO APPLY? GUEST: THE PROGRAMS
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| 00:26:53 |
Artiga, Samantha - Associate Director
ARE CLOSE TO CONNECTED BUT HAVE DIFFERENT ROLES AND PURPOSES. MEDICAID HAS BEEN AN INSTANCE -- IN EXISTENCE SINCE 1965. IT WAS DESIGNED TO SERVE THE...
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| 00:28:11 |
Orgel, Paul - Host
SAMANTHA ARTIGA IS CURRENTLY USES THE DIRECTOR OF THE KAISER FAMILY FOUNDATION COMMISSION ON MEDICAID AND THE UNINSURED. WE GO TO MORE CALLS. PORT CHARLOTTE,...
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| 00:28:35 |
CALLER, -
RECENTLY UNEMPLOYED, LIKE A LOT OF US ACROSS THE UNITED STATES. I AM A SINGLE FATHER WITH A DAUGHTER. I HAVE GOTTEN INVOLVED IN THIS MEDICATE THING....
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| 00:29:50 |
Artiga, Samantha - Associate Director
CHIP PROGRAMS HAVE REQUIREMENTS FOR PROGRAM INTEGRITY AND TO INSURE THE DOLLARS ARE BEING SPENT WISELY. THERE HAVE BEEN CHANGES TO INCREASE THOSE EFFORTS....
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| 00:30:49 |
Orgel, Paul - Host
THE LINE, SUE IS AN INDEPENDENT. CALLER: I HAD A
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| 00:30:58 |
CALLER, -
CHILD-ONLY POLICY FOR MY DAUGHTER. I WAS PUT ON MEDICARE. WHEN I GOT ON SOCIAL SECURITY, THEY CHANGED MY PAY DATE AND I LOST MY DAUGHTER'S INSURANCE....
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| 00:31:54 |
Artiga, Samantha - Associate Director
CHIP PROGRAM WAS TO FULFILL A SPECIFIC NEED FOR CHILDREN AND FAMILIES ABOVE THE THRESHOLD BUT HAVING DIFFICULTY AFFORDING PRIVATE COVERAGE. EACH STATE...
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| 00:32:50 |
Orgel, Paul - Host
THE KAISER WEBSITE. HERE ARE THE ANNUAL FINDINGS OF THE SURVEY. WHAT ELSE MIGHT FOLKS FIND? GUEST:
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| 00:33:10 |
Artiga, Samantha - Associate Director
ANALYSIS OF KEY POLICY ISSUES AS WELL AS BASIC FACTS ABOUT THE PROGRAMS. THERE ARE A LOT OF STATE RESOURCES. YOU CAN FIND DATA ABOUT YOUR STATE AND SEE...
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| 00:33:27 |
Orgel, Paul - Host
DEMOCRAT. CALLER: I HAVE SEVERAL
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| 00:33:33 |
CALLER, -
COMMENTS I WOULD LIKE TO MATEKE. I WANT TO SEE MY TAX MONEY SPENT ON TAKING CARE OF CHILDREN AND THE OLD -- ELDERLY. I DO LIVE IN FLORIDA. WE HAVE A...
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| 00:34:52 |
Artiga, Samantha - Associate Director
I THINK THE CALLER TOUCHES ON A POINT THAT WE SEE STRONG SUPPORT FOR THE PROGRAM. I THINK THERE IS GENERAL AGREEMENT ACROSS PARTY LINES AND AT THE STATE...
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| 00:35:23 |
Orgel, Paul - Host
BILLION IS A FIVE-YEAR FIGURE. IT GOES UNTIL 2013. WHAT IS THE FUTURE OF FUNDING FOR THE PROGRAM? GUEST:
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| 00:35:35 |
Artiga, Samantha - Associate Director
THE FIGURE YOU ARE REFERRING TO IS PART OF THE REAUTHORIZATION ACT THAT OCCURRED IN 2009 THAT EXTENDED FUNDING FOR THE PROGRAM, INCREASED FUNDING LEVELS,...
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| 00:36:23 |
Orgel, Paul - Host
INDEPENDENT. CALLER: I AM A
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| 00:36:28 |
CALLER, -
PEDIATRICIAN AND NEONATOLOGYIST ON THE EASTERN SHORE. WHERE ARE YOU GOING TO GET THE DOCTORS? YOU DO NOT PAY THE PEDIATRICIANS' ANYTHING. THEY DO BETTER...
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| 00:37:12 |
Artiga, Samantha - Associate Director
A POINT WE DID TOUCH ON EARLIER. IT IS A LARGER PROBLEM FACING THE NATION. THAT IS THE SHORTAGE OF PHYSICIANS, PARTICULARLY FOR CERTAIN TYPES OF SERVICES....
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| 00:38:13 |
Orgel, Paul - Host
HOST: ONE LAST CALL IS FROM ALABAMA, JOEY IS A REPUBLICAN. CALLER: I HAVE
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| 00:38:23 |
CALLER, -
A QUESTION. I AM A SINGLE PARENT, RECENTLY DIVORCED, A 13-YEAR-OLD GIRL. I HAD HER OWN FAMILY COVERAGE THROUGH MY EMPLOYER BEFORE I GOT DIVORCED. WHEN...
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| 00:39:49 |
Artiga, Samantha - Associate Director
WAS NOT DESIGNED TO FILL ALL THE GAPS. IT IS CLEAR THERE ARE SOME GAPS THAT REMAIN TODAY. WHEN THE COVERAGE EXPANSIONS GO INTO PLACE IN 2014, THE GOAL...
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| 00:40:10 |
Orgel, Paul - Host
HOST: OUR GUEST HAS BEEN SAMANTHA ARTIGA, ASSOCIATE DIRECTOR OF THE KAISER FAMILY FOUNDATION ON MEDICAID AND THE UNINSURED. WE WILL BE BACK TOMORROW,...
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NOTE: The transcript for this program was compiled from uncorrected Closed Captioning.