Economics, Commerce and Trade Management: An International Journal (ECTIJ)
Medicaid Buy In - North Dakota
1. Passing the Family Opportunity Act in North Dakota Donene Feist Executive Director Family Voices – ND Edgeley, ND (pop. 562) HRSA/MCHB Partnership Meeting October 2007
2. 1 st in the country FOA passed in ND, April 11, 2007 North Dakota Gov. John Hoeven signed SB 2326. Sponsor: State Senators Tim Mathern and Dick Dever. Elizabeth is the daughter of Roxanne Romanick, was involved in the legislation and was present at the ceremony. Photography by Shannon Wirrenga
3. The Outcome: FOA in ND Financial Eligibility - 200% of the FPL NET (49,000 children >18*) Premiums - 5% of monthly Gross income Out of pocket expenses: child care costs, medical, taxes withheld, etc.) SAMPLE $ 41,300 Family of 4 (ave. ND annual income $53,323 **) $ 117 average estimated monthly premium Healthcare Benefits Analysis determines if current out-of-pocket expenses outweigh cost of buying into Medicaid. SOURCES: * 2007 Child Care in the State of: ND * * U.S. Census Bureau, CPS 2006 Annual Social and Economic Supplement
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7. 12.4% 19,651 / 12.8% nationally 6.8% age 0 - 5 14.3% age 6 - 11 15.3% age 12 - 17 14.7% male 10.0% females CYSHCN in ND Prevalence rates are not significantly different from the national rates by age and gender. Source: DRC, 2006
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11. 31.0% have public insurance SCHIP is not adequate 12.9% have had no insurance in the last 12 months 19.1% needed special services, equipment or other 24.0% Families experience financial problems due to child’s health needs 22.0% Families not able to pay for financial costs for their child’s health care needs. - 66% paid out of pocket expenses. - 40% amount for out of pocket was a financial burden DRC: 2001 Why ND Needed FOA: Data on of CYSHCN
