June 13, 2017

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If you're a supt who hasn't taken action to protect Medicaid in schools now, you're missing a major opportunity to make a difference in the debate on Capitol Hill

As a school leader you know school-based Medicaid programs are really important to students, to school personnel and to communities. We need Congress to understand this point now more than ever. Please take 5 minutes. Make a call, send an email, do whatever you can to weigh in with your Senators. If you miss the opportunity to protect school-based Medicaid programs you are missing an opportunity to make a meaningful difference in this debate. 

Below are your talking points. Download this sample letter and make it your own. If you prefer to call, there is also a script for that below. If you aren’t sure how much money you get as a district, feel free to refer to the state numbers that I have attached. Please share this widely with your staff and other school leaders you know.

General Talking Points

·   Medicaid provides critical health care services to children across the country in a variety of settings, including in schools.

·   Medicaid pays for some services in school settings for eligible Medicaid-enrolled students. This is an efficient and impactful delivery system because schools are where children are. Increasing access to health care services through Medicaid improves health care AND educational outcomes.

·   Medicaid funding to schools is critical to ensuring access to services for these students. Without Medicaid funding, schools will be unable to meet student need and already strained school budgets will not be able to keep up.

·   Proposals to cap federal funds directly shift costs to state budgets—and state budgets are already strained.

Consequences of Block Grants or Per Capita Caps

·       Cuts or changes to Medicaid funding could undermine Early Periodic Screening Diagnosis and Treatment (EPSDT). The goal of EPDST is to assure that health problems are diagnosed and treated as early as possible, before the problems become complex and treatment more costly.  Changes to the funding structure of Medicaid could limit the availability of critical and cost-saving preventative care.

·       Together with CHIP, Medicaid has been enormously successful in providing access to health services to more than 44 percent of our nation’s children. From vaccinations, well-child check-ups, and chronic disease management, to oral health, vision care, and prenatal care for expectant mothers, Medicaid ensures that children get the services they need to grow, develop, and go to school ready to learn.

·       Children constitute approximately 44 percent of the Medicaid beneficiaries, but only about 19 percent of the costs for Medicaid. Current proposals to cap or limit state funding are misguided and threaten to disproportionately harm children’s access to care.

·   Block granting Medicaid could result in reduced eligibility for Medicaid and CHIP, coverage of fewer services, lower payments to providers, or increased cost-sharing by beneficiaries — all of which would reduce access to care.

·   Reduced funding via block grants or per capita caps will disproportionately harm our nation’s children.

·      Per capita cap serves only to cut federal costs by setting arbitrary limits on federal Medicaid spending. This would be equally devastating for the vulnerable populations that rely on Medicaid, including primarily, low-income children, and the disabled.

Sample Call Script/Talking Points

Call (202) 224-3121 and ask the switchboard operator to be connected to your Senator’s office.

Once connected, be sure to introduce yourself and identify yourself as a constituent.

“I am calling to urge Senator [XXX] to reject any proposal that significantly cuts Medicaid and institutes a block grant or per capita caps. School-based Medicaid serves as a lifeline for children who can’t access critical healthcare and services outside of their school. This proposal will have devastating effects on children, especially those with disabilities that we serve in my district. I urge Senator xxx to oppose any effort to restructure Medicaid and jeopardize the ability of school districts to continue to receive Medicaid funding on an as-needed basis. Thank you for passing this message along to the Senator.”




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