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In Harms Way

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Title: In Harms Way


1
Childrens Defense Fund of Texas
In Harms Way
True Stories of Uninsured Texas Children
2
Who are the 200,000 Texaschildren who have lost
CHIP coverage?
3
ABOVE THE LIMIT
4
Everett Family Arlington
  • Family earns 35,000 a year in pest control.
    Winter months are slow.
  • Mother is wheel-chair bound with MS and has
    significant healthcare expenses.
  • New CHIP guidelines do not count children over 18
    as family members. Even though their full-time
    student daughter lives at home, she is not
    counted as part of the family size. As a result,
    they are 100 over the income limit for a family
    of 3.
  • The entire Everett family is uninsured.

5
ASSETS
6
Dumas Family
  • Single mother works full time and attends school
    part time through the GI Bill as a veteran.
  • Her three children ages 8, 6 and 4 were
    disqualified from CHIP because she co-signed for
    a friends vehicle.

7
Garcia Family
  • 2 parent family lives in Beaumont. Their old
    home suffered extensive damage from Hurricane
    Rita.
  • The family received an insurance check to rebuild
    their home, which was counted as an asset. Ten
    year old Gabriella lost CHIP after 7 years of
    continuous coverage.
  • Gabriella missed 29 days of school last year
    because of severe migraines and skin allergies.

8
CHIP provides confidence and peace of mind.
9
RED TAPE
10
Devante Johnson, age 14 Diagnosis Advanced
Cancer of the Kidneys
  • Mother submitted renewal 2 months before Medicaid
    expiration.
  • Medicaid renewal sat for 6 weeks without
    processing.
  • Devante determined eligible for CHIP -
    application transferred to Accenture.
  • Paperwork was lost in the system and despite
    numerous calls and faxes, Devantes mother was
    unable to track the application.
  • State Representative intervened to restore
    coverage.

11
  • When he lost coverage, he could not receive
    regular treatment and relied on clinical trials
    for care.
  • Eligible child was uninsured for 4 months while
    tumors grew.
  • Devante died on March 1, 2007 of complications
    from cancer.

12
Rohrer Family
  • Tried for 5 months to apply for CHIP without
    success.
  • CDF intervened to get the children covered in
    September 2006.
  • Matt suffers from manic depression and ADHD and
    his sister Tasha suffers repeated fractures due
    to a brittle bone condition.
  • Paid 50 premium in September, more than the 35
    required.
  • On October 25th, received a letter requesting
    they pay their premium by July 17th or the
    children would lose coverage.

13
The fact that childrens health insurance
programs are in place but children are unjustly
being denied benefits should boil every Texans
blood. -Karen Rohrer
14
Cannon Family
  • Teri Cannon is a stay at home mom with 2 young
    boys. Her husband is a PhD student at Rice.
  • 4 year old Jason receives CHIP and 1 year old Ian
    has Medicaid.
  • Jason went without coverage for 4 months while
    renewing CHIP.
  • Family was Medicaid income eligible but their
    assets made them eligible for CHIP.
  • Jason has chronic asthma with a major episode
    every 6 weeks usually brought on by a common
    cold. While uninsured, his medication ran out
    and he was sick several times.

15
I want lawmakers to know that our family is not
abusing the system. Someday well be
professionals, earning just as much as they do.
Right now were a student family and theres no
other affordable option out there. -Teri
Cannon
16
Shaw Family
  • Grandparents from Galveston adopted their
    grandsons in 1999. Both boys have chronic kidney
    conditions and need ongoing medical attention.
  • Lost coverage for six months last year while
    their grandmother tried to renew CHIP.
  • She submitted paperwork on time, paid the
    required enrollment fee and called numerous
    times, but the insurance cards never arrived in
    the mail.
  • While uninsured, one boy broke his arm in two
    places. Grandparents paid out of pocket for care
    and drove him to a hospital 120 miles away in
    Livingston.
  • Doctors put the boy in a splint and sent him
    home.

17
Bazile Family
  • The Bazile family was forced to evacuate from
    New Orleans during Hurricane Katrina.
  • LA CHIPs 30 day process from start to finish
    turned into a yearlong nightmare for Texas CHIP
    processing.
  • The family did not receive any communication for
    a month and a half after applying and was
    required to provide numerous forms of missing
    information.

Sydney and Paris Bazile remained uninsured one
year after the storm because paperwork was
mismanaged.
18
What happens when children go without coverage?
19
Sorrels Family
  • Two parent working family from Bridge City (east
    of Beaumont).
  • Kevin went without coverage for 2 months.
  • His medications for Cerebral Palsy cost 1200/
    month.
  • Family cut back on food and rationed medication
    while he went without coverage.

20
Shelton Family
  • Two parent working family lives in Carrollton,
    north of Dallas.
  • 9 year old Tommy suffers from Graves disease and
    Type I Diabetes.
  • Lost coverage and went without medical care for 3
    months.
  • Graves disease spiraled out of control because
    parents could not afford doctor visits.
  • Result Tommy became hyperactive, unable to sleep
    and exhausted.
  • Grades plunged from As to Ds. Family went to
    ER for care to get sample medications and are
    struggling to pay the 1,000 hospital debt.

21
You can get signed up but you cant remain on
the program it is an incredibly frustrating
process. There needs to be accountability on what
taxpayers are spending. I deserve better. I need
accountability for the way lawmakers are spending
my money.
-Barbara Shelton
22
Childrens Defense Fund
Barbara Best Texas Executive Director 4500
Bissonnet, Suite 260 Bellaire, Texas 77401 T
713-664-4080 F 713-664-1975 www.cdftexas.org
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