Historical Funding

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Analysis of Historical Funding: Children’s Health Care Coverage

Analysis of Historical Funding: Children’s Health Care Coverage
Children’s health care coverage has a long history in the United States. During the Depression-era certain health care programs were set up for children. This program would be the foundation of Medicaid which was established in 1965. The expansions in Medicaid coverage continues throughout four decades. With the help of the State Children’s Health Insurance Program (SCHIP), federal financing was able to expand in order for low-income children to have coverage. Through an analysis of the article written by Mann, Rowland, and Garfield (2003) titled, “Historical Overview of Children’s Health Care Coverage,” three objectives will be reflected upon. The objectives are the evolution of publically sponsored coverage, the raising of health care costs, lessons learned throughout history.

Evolution of Publically Sponsored Coverage
The Great Depression caused great economic stressors for many families in the United States. In an effort to help with the costs of medical care, states were allowed to provide additional funds for the cost of medical care for families receiving welfare. According to Mann, Rowland, and Garfield (2003), “Title V of the Social Security Act of 1935 also established “Grants to States for Maternal and Child Welfare (Mann, Rowland and Garfield, 2003, pg 32). The grants would provide the states with funds for the medical care for children.

In the beginning Medicaid was a joint federal-state program. The federal government would match funds to states to share in the cost in providing people with Medicaid. In order for states to receive funds from the federal government, they needed to uphold to the guidelines. Medicaid has since been changed to cover families based on income and not on welfare status.

States began to be concerned about program costs due to the...
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