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American Public Health Association
133rd Annual Meeting & Exposition
December 10-14, 2005
Philadelphia, PA
APHA 2005
 
Session: Martha May Eliot Forum: The Evidence Base for Medicaid's Maternal and Child Health Services
4239.0: Tuesday, December 13, 2005: 2:30 PM-4:00 PM
Oral
Martha May Eliot Forum: The Evidence Base for Medicaid's Maternal and Child Health Services
Current Threats to Medicaid Coverage for Women and Children and Opportunities for Action Four decades after its creation, Medicaid continues to be the most important source of publicly subsidized health coverage. From the beginning, Medicaid was intended to provide health care coverage for poor women and children, yet political and budget pressures made it impossible for the program to live up to expectations. By many measures, however, the program has been a success. Medicaid’s child health component, known as the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program, has been shaped to fit standards of pediatric care and to meet the special physical, emotional, and developmental needs of low-income children. Women’s health coverage has long included family planning (albeit for an insufficient but growing number of women), and increased emphasis on maternity care was added during the 1980s. Today, Medicaid faces enormous political challenges. The debates about cutting Medicaid or creating a block grant are dominated by myths and misconceptions. This session will focus on Medicaid’s role in improving MCH access and outcomes, as well as the political forces that shape the program. Based on prior research and experience, the three panelists will begin with a discussion of the political dynamics behind current Medicaid proposals. Discussion will include summary of the relevant events from the push for a Medicaid block grant in 1994-1996, emphasizing the role of MCH advocates. The position of child health issues in the current debate, as well as the larger themes will be reviewed.
Learning Objectives: Participants will: - Increase knowledge of the evidence regarding the impact of Medicaid on maternal and child health outcomes. - Better understand the role of evidence in policy development. - Increase awareness of the political dynamics driving proposals for a Medicaid block grant or budget cutbacks. - Learn new research strategies for studying the effectiveness of Medicaid and the State Children’s Health Insurance Program (SCHIP). - Gain historical perspective on the politics of Medicaid policy for children and women.
Organizer(s):Kay Johnson, MPH, EdM
2:30 PMPolicies and Evidence on Reducing Infant Mortality and Improving Women’s Health using Medicaid: Systematic review and synthesis  [ Recorded presentation ]
Kay Johnson, MPH, EdM, Molly McNulty, JD
2:50 PMEvidence-Based Child Health Policymaking: Pediatric Preventive & Primary Care  [ Recorded presentation ]
Molly McNulty, JD
3:10 PMMedicaid and SCHIP Coverage and Payment Policies For Children
Anne R. Markus, JD, PhD, MHS, Sara Rosenbaum, JD, Alexis Crumbley, JD, Alexandra Stewart, JD, Marisa Cox, MA
See individual abstracts for presenting author's disclosure statement and author's information.
Organized by:Maternal and Child Health
Endorsed by:Statistics; Women's Caucus
CE Credits:CME, Health Education (CHES), Nursing

The 133rd Annual Meeting & Exposition (December 10-14, 2005) of APHA