Archive for Monday, August 14, 2006

Citizenship rules may hurt poor children, advocates say

August 14, 2006

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New federal rules requiring Medicaid recipients to document that they are U.S. citizens may decrease health care for low-income children who are citizens, child advocates say.

"With over 45,000 children in Kansas uninsured, it makes no sense to do anything to further restrict health care services," said Cindy D'Ercole, a policy analyst with Kansas Action for Children.

"This would make the emergency room the primary source of care for even more children," she said.

D'Ercole said many parents have difficulty keeping track of children's documentation, and children in foster care often have trouble obtaining birth certificates and other documents.

But state officials say that since the federal rules went into effect July 1, they haven't seen any delayed or denied care.

"The state of Kansas is making every effort to allow beneficiaries an appropriate amount of time to supply supporting documentation," said Luke Thompson, a spokesman for the Kansas Health Policy Authority.

"We've not yet been made aware of any specific problems, but our level of concern remains high," Thompson said.

Medicaid is financed through state and federal funds and provides health care to approximately 250,000 people statewide, or nearly one in 10 Kansans. Children, the elderly and those with disabilities make up 90 percent of the recipients.

Under the Deficit Reduction Act signed into law by President Bush, current Medicaid recipients and new applicants are required to verify their citizenship and identities by providing documents such as birth certificates or U.S. passports. Before the new law, recipients were able to self-declare their citizenship.

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