Kids Have Health Care

Medicaid already covered SCHIP program defined as those in families below the official federal poverty level. The stated intent of Congress when it established the program in 1997 was to expand coverage beyond those who were poor to "uninsured low-income" children. And in Washington-speak, there's a significant difference between "poor" and "low-income."

Congress didn't specify exactly what it meant by "low-income" in the bill that became law or the conference report that accompanied it on final passage, and reasonable people can certainly come up with different definitions. However, if one defines "low" as meaning "lower than most families make," then there is plenty of room to expand the current SCHIP program without violating the original aim stated by Congress in 1997.

Currently, the state with the highest income cap is New Jersey, where a family of four making up to $72,275 is eligible. (See chart at left for current cut-offs for all 50 states and the District of Columbia.) That's well below the median income for a family of four in that state, which was $94,441 in 2006 according to the U.S. Census Bureau. The median means half of all families made less than that, and half made more. So even New Jersey's ceiling for SCHIP is significantly lower than what most families in that state bring in.

The same is true for all 10 of the jurisdictions with the highest ceilings. The median income for families of four last year was $84,472 in Hawaii, $93,821 in Connecticut, $94,017 in Maryland, $71,571 in D.C., $89,347 in Massachusetts, $63,274 in Missouri, $87,396 in New Hampshire, $74,072 in Pennsylvania, and $67,884 in Vermont. Therefore, under current law even the top 10 cover only families with income that is "low" compared to most others there.


 RETURN