医師の一分

アクセスカウンタ

zoom RSS 小児健康保険法の改正/米国医療事情 SCHIP

<<   作成日時 : 2009/01/14 20:58   >>

ブログ気持玉 0 / トラックバック 0 / コメント 0

小児健康保険法の改正
 数百万人の低所得層の子どもに健康保険を提供する法案を可決してオバマ大統領の勝利を祝う体制づくりを議会は狙っている。
 今週投票予定の法案は2007年に2回ブッシュにより拒否された法案に似ていると民主党リーダーは言う。さらに、1996年に中止となりヒスパニックグループの目標でもあった21才未満の合法移民への健康保険付与の復活を各州に認める。
 しかし、多くの共和党員が違法移民の健康保険取得を阻止するための手続きの確立を求めているため、感情的な議論が復活する可能性がある。
 現行法では合法移民は米国入国後5年間はメディケイドやSCHIP小児健康保険プログラムに入れない。民主党案は子どもや妊娠女性への資格付与を州に許可する。現在の660万人の子どもに加えさらに無保険の約400万人が恩恵を受け、合計では1000万人になる。連邦政府は年50億ドル以上をこのプログラムに使っており、拡張によりそのコストは2倍となる。
 40-60万人の移民の子どもがこの法案で保険を取得できると推計されている。
 新たな法案は1パックあたり61セント〜1ドルのタバコ税によって資金提供される予定である。
画像

---------------
小児健康保険プログラムの危機/米国医療事情 カリフォルニア
http://kurie.at.webry.info/200812/article_33.html
ブッシュ大統領、小児健康保険法案に拒否権発動/米国医療事情
http://kurie.at.webry.info/200710/article_12.html
タバコ増税し小児保健医療充実を/米国医学会
http://kurie.at.webry.info/200707/article_33.html
それぞれの医療事情/米国版
http://kurie.at.webry.info/200707/article_27.html
---------------------------------------------------------
Congress Set to Renew Health Care for Children
By ROBERT PEAR
Published: January 12, 2009
http://www.nytimes.com/2009/01/13/us/13health.html

WASHINGTON ― Congress is poised to give President-elect Barack Obama a quick victory by passing a bill to provide health insurance to millions of low-income children.

The House Democratic leader, Representative Steny H. Hoyer of Maryland, said the bill, scheduled for a vote in the House this week, was “very much like” legislation twice vetoed by President Bush in 2007. Legal authority for the program expires on March 31.

Congressional Democrats said they had decided to add a major provision allowing states to restore health insurance benefits to legal immigrants under 21, a goal of Hispanic groups since those benefits were terminated in 1996.

This part of the bill deals only with legal immigrants. But it could revive the emotional debate over immigration, as many Republicans want to establish stricter verification procedures to prevent illegal immigrants from getting health benefits.

Under current law, legal immigrants are generally barred from Medicaid and the State Children’s Health Insurance Program for five years after they enter the United States. The Democrats’ proposal would give states the option of covering children and pregnant women, with the federal government subsidizing the costs as usual under both programs.

Supporters of the bill said it would cover 10 million children, providing benefits for nearly 4 million who are uninsured, while continuing coverage for 6.6 million youngsters already enrolled. The federal government now spends more than $5 billion a year on the program, and while precise figures are not yet available, the expansion would more than double that cost.

Experts estimate that 400,000 to 600,000 immigrant children affected by the restrictions could get insurance under the bill.

“Children should not be forced to wait five years for health care,” said Jennifer M. Ng’andu, a health policy specialist at the National Council of La Raza, a Hispanic rights group. “Five years is a lifetime to a child.”

Representative Eric Cantor of Virginia, the Republican whip, said Republicans had concerns about expanding the program, to immigrants or any other group, before the original purpose of the program was achieved.

“The program has not fulfilled its initial mission, to serve children of the working poor,” Mr. Cantor said in an interview.

Among children, legal immigrants are less likely than citizens to receive immunizations and routine dental care. Likewise, among women, legal immigrants are less likely to receive prenatal care.

Leighton C. Ku, a professor of health policy at George Washington University, said the five-year wait had harmed children who would become citizens. “About half of all low-income immigrant children are now uninsured,” Mr. Ku said. “Most immigrant children become U.S. citizens. When they grow up, they make contributions to the economy, pay taxes and serve in the military.”

Aides to Speaker Nancy Pelosi briefed advocacy groups on their plans on Friday.

“There were cheers in the room,” Ms. Ng’andu said. “It was a joyous moment when we learned that legal immigrant children would be covered.”

House Democrats are taking their bill directly to the floor, but in the Senate, Democratic leaders plan to work through the Finance Committee, led by Senator Max Baucus, Democrat of Montana. Mr. Baucus has drafted a bill similar to the House measure. As of late Monday, his proposal did not include benefits for immigrants.

But other Democratic senators, like Jeff Bingaman of New Mexico and John D. Rockefeller IV of West Virginia, have said that they, like Mr. Obama, want to allow states to cover children who are legal immigrants.

The new bills, like those vetoed, would be financed by tobacco taxes, including a 61-cent cigarette tax increase, to $1 a pack.
--------------------------------------------
米、児童向け医療保険拡充へ 新政権初の法律か
http://www.tokyo-np.co.jp/s/article/2009011501000137.html
2009年1月15日 09時43分
 【ワシントン14日共同】米下院本会議は14日、児童向けの公的医療保険拡充法案を賛成289、反対139で可決した。上院でも近く可決される見込み。法案を推進したオバマ次期大統領が20日の正式就任後に署名し、新政権下で成立する初の法律になる可能性がある。
 同様の法案は民主党主導の議会をこれまで2回通過したが、ブッシュ大統領が拒否権を行使していた。医療保険拡充を内政の重要課題と位置付けるオバマ氏にとっては「変革」を具体化する一歩となりそうだ。
 オバマ氏は法案の下院通過について「すべての子供に医療保険を付与するのは、われわれの道徳的義務だ」と歓迎する声明を発表。上院に早期可決を促し、自らが署名する最初の法案にしたいと期待を表明した。
 法案は民間の医療保険加入が経済的に困難でありながら、既存の低所得者向け公的医療保険の対象とされていない家庭の児童約400万人を、対象に加える内容。財源はたばこ増税で賄う。

---------------------------------------------
Page last updated at 13:23 GMT, Thursday, 15 January 2009
House widens US child health care
http://news.bbc.co.uk/2/hi/americas/7830409.stm

画像House Speaker Nancy Pelosi ( right) and House Majority Leader Steny Hoyer speak about SCHIP
House Speaker Nancy Pelosi said the US could well afford the programme

The House of Representatives has voted to expand US government-funded health insurance to cover an additional four million children.

President-elect Barack Obama, who has promised wider access to medical insurance, urged the Senate to act so he could sign the bill into law soon.

The legislation is similar to bills vetoed by President George W Bush.

Tobacco taxes will be increased to pay for the programme, which currently insures some seven million children.

The bill was passed by 289 votes to 139 in the House of Representatives.

The legislation extends coverage provided under the State Children's Health Insurance Programme (SCHIP), which is administered jointly by the federal and state governments, to four million currently uninsured children.

It provides $32.3bn (£22.1bn) over four-and-a-half years to continue health coverage for seven million children who currently rely on the scheme.

"In this moment of crisis, ensuring that every child in America has access to affordable health care is not just good economic policy, but a moral obligation we hold as parents and citizens," Mr Obama said in a statement.

Unemployment

Mr Obama said he hoped the Senate would pass its version of the legislation quickly so that it could be one of the first measures he signed into law after taking office on 20 January.

President George W Bush (file picture)
Outgoing President Bush George Bush vetoed similar legislation

The legislation would raise federal taxes on tobacco taxes, including an increase of 61 cents in the tax on cigarettes to $1 a pack.

Opponents of the bill argue that it would move more than two million children who currently get private insurance through their parents' employers into government-funded care.

"The priority of SCHIP should always be to serve those children most in need of assistance, not subsidise those who already have access to private insurance," said Republican Congressman Darrell Issa.

They also say the additional spending will run up big bills for the future.

"The kids will have to pay through the nose for the things we are doing today," said Republican Congressman Dan Burton. "We don't have the money to do all these things."

"Forty days in Iraq equals over 10 million children in America insured for one year. We certainly can afford to do that," said House Speaker, Democrat Nancy Pelosi.

Most of the children who qualify for coverage are in families whose income is well under $42,400 - which is twice the federal poverty level for a family of four. Some US states have expanded their programmes to cover families with incomes up to $63,600 or three times the poverty level.

"At a time of rising unemployment, this legislation is more important than ever," said Democratic Congressman Mike McMahon.

People often lose their health insurance when they lose their jobs.

テーマ

関連テーマ 一覧


月別リンク

ブログ気持玉

クリックして気持ちを伝えよう!
ログインしてクリックすれば、自分のブログへのリンクが付きます。
→ログインへ

トラックバック(0件)

タイトル (本文) ブログ名/日時

トラックバック用URL help


自分のブログにトラックバック記事作成(会員用) help

タイトル
本 文

コメント(0件)

内 容 ニックネーム/日時

コメントする help

ニックネーム
本 文
小児健康保険法の改正/米国医療事情 SCHIP 医師の一分/BIGLOBEウェブリブログ
文字サイズ:       閉じる