Table of Contents
Introduction………………………………………………………………………….
Health Care for Children…………………………………………………………
Health Care for Women………………………………………………………….
Health Care for Young Adults…………………………………………………
Health care for 65 +………………………………………………………………
Conclusion…………………………………………………………………………….
Work Cited…………………………………………………………………………….
Introduction
Health care for children with Special needs
No single agency or profession was responsible to provide or administrate a service that will support infants and children disabilities in the United States. In a concerted effort to coordinate these services to assure optimum benefit to target this population, led to the creation of ECI (The early childhood intervention). This Program demonstrates how disparate groups can work together to provide a comprehensive system for children’s health care. ECI, grew out because of an increased awareness from parents and educators looking to help children with chronic conditions, disabilities, and special needs to receive comprehensive intervention services for a better chance to grow.
The United states government Acknowledged this policy which mandated the public schools to serve all handicapped children from 3 through 21 years old, and the visually and impaired from birth through 21 years old. In Texas in the 1970s, several people were concerned about finding and serving children who were falling between this program. As a result, the legislature established a committee composed of legislators and state agency representatives to study services for children with special needs in Texas. The early childhood intervention program began quickly and remarkably in the fall of 1981. ECI increased the types of services to reach out children in previously unserved counties and expanded their programs to serve a greater number of children. On September of 2016, the ECI program was transferred by the Texas legislature to the Texas health and human Services commission. Currently, this program support families with children up to age 3 offering services to support families as they learn how to help their children grow and learn.
Health Care for Women
In the state of Texas there are various programs for women to get health covers. From annuals exams and family planning, Texas have made it easier to find the women’s healthcare services you need. Healthy Texas Women is a program dedicated to offering women’s health and family planning at no cost to eligible women in Texas. These services help women plan their families, whether it is to achieve, postpone, or prevent pregnancy. They also can have a positive effect on future pregnancy planning and general health. This program pays for a list of services.
Medicaid is for low-income pregnant women is also. This program is a federal-and-state-funded health insurance program that provides health insurance coverage to low-income Texas residents. The program ensures that needy individuals and families in Texas are able to re.
Table of ContentsIntroduction………………………………………………………………………….He.docx
1. Table of Contents
Introduction…………………………………………………………
……………….
Health Care for
Children…………………………………………………………
Health Care for
Women………………………………………………………….
Health Care for Young
Adults…………………………………………………
Health care for 65
+………………………………………………………………
Conclusion……………………………………………………………
……………….
Work
Cited…………………………………………………………………
………….
Introduction
2. Health care for children with Special needs
No single agency or profession was responsible to provide or
administrate a service that will support infants and children
disabilities in the United States. In a concerted effort to
coordinate these services to assure optimum benefit to target
this population, led to the creation of ECI (The early childhood
intervention). This Program demonstrates how disparate groups
can work together to provide a comprehensive system for
children’s health care. ECI, grew out because of an increased
awareness from parents and educators looking to help children
with chronic conditions, disabilities, and special needs to
receive comprehensive intervention services for a better chance
to grow.
The United states government Acknowledged this policy which
mandated the public schools to serve all handicapped children
from 3 through 21 years old, and the visually and impaired from
birth through 21 years old. In Texas in the 1970s, several people
were concerned about finding and serving children who were
falling between this program. As a result, the legislature
established a committee composed of legislators and state
agency representatives to study services for children with
special needs in Texas. The early childhood intervention
program began quickly and remarkably in the fall of 1981. ECI
increased the types of services to reach out children in
previously unserved counties and expanded their programs to
serve a greater number of children. On September of 2016, the
ECI program was transferred by the Texas legislature to the
Texas health and human Services commission. Currently, this
program support families with children up to age 3 offering
services to support families as they learn how to help their
children grow and learn.
Health Care for Women
3. In the state of Texas there are various programs for women to
get health covers. From annuals exams and family planning,
Texas have made it easier to find the women’s healthcare
services you need. Healthy Texas Women is a program
dedicated to offering women’s health and family planning at no
cost to eligible women in Texas. These services help women
plan their families, whether it is to achieve, postpone, or
prevent pregnancy. They also can have a positive effect on
future pregnancy planning and general health. This program
pays for a list of services.
Medicaid is for low-income pregnant women is also. This
program is a federal-and-state-funded health insurance program
that provides health insurance coverage to low-income Texas
residents. The program ensures that needy individuals and
families in Texas are able to receive proper healthcare within
their own communities. Individuals who receive coverage can
attend doctor visits, receive lab tests and x-rays, necessary
prescription drugs, hospital care, and rides to the doctor’s office
as needed. A Medicaid application form is an essential
component to receiving healthcare.
CHIP Perinatal is no cost prenatal care for pregnant women and
their unborn children, even if the mother does not qualify for
Medicaid. The Children’s Health Insurance Program (CHIP)
provides health coverage to eligible children, through both
Medicaid and separate CHIP programs. CHIP is administered by
states, according to federal requirements. The program is
funded jointly by states and the federal government. CHIP
provides low-cost health coverage to children in families that
earn too much money to qualify for Medicaid.
Starting Sept. 1, 2017, women in the Medicaid for Breast
and Cervical Cancer (MBCC) program will receive all their
Medicaid services, including cancer treatment, through the
STAR+PLUS health plan they pick. After the transition, women
who receive MBCC services will have the same Medicaid
benefits they have today. Women who get MBCC services will
4. have a nurse as their service coordinator. The service
coordinator can help identify and address medical needs, help
them and their families understand Medicaid benefits, ensure
access to needed specialty services and help coordinate
community supports including services that might be non-
medical or not covered by Medicaid.
Health Care for Young Adults
Health insurance when you’re young doesn’t seem too important
until you actually get sick. When you get in a serious health
predicament and the bills start piling up and you’re struggling
to pay that’s when young adults start taking health insurance
seriously and we all should. If you are 30 years old and under,
you can health coverage a few different ways some designed
specifically for you.
Texas has the biggest coverage cap in the country with at
least 638,000 resident’s ineligible for Medicaid. Texas has not
expanded Medicaid under the Affordable Care Act. Roughly 15
percent of the uninsured population in Texas are in the coverage
gap and would have access to coverage if Texas were to expand
Medicaid. For a family of two if your monthly income is $1,784
or less, or the yearly income is $21,404 or less, you may qualify
for Children's Medicaid.
Some people might confuse Medicaid with CHIP. CHIP
stands for Children’s Health Insurance Program. You qualify for
CHIP if for a family of two the monthly income is $2,663 or
less, or the yearly income is $31,951 or less. You also qualify if
you are pregnant, you must be a Texas resident under 19 years
of age or be a primary care giver with a child under 19 years of
age.
Under current law If you are under 26 years old you are
able to get added or kept on your parent’s health insurance plan.
Even if you are married, not living with your parents, attending
school, not financially dependent on your parents or if you are
eligible in your employer’s plan. The way to get added on your
parent’s plans through either job-based plans or plans brought
through the Health Insurance Marketplace. If you’re covered by
5. a parent’s job-based plan, your coverage usually ends when you
turn 26. If you’re on a parent’s Marketplace plan, you can
remain covered through December 31 of the year you turn 26.
Texas needs to expand Medicaid under the affordable care
act. Since residents in states not expanding Medicaid still have
to pay federal taxes, there has been a significant outflow from
Texas residents to fund Medicaid expansion in other states.
Over a decade. Texas residents will pay $36.2 billion in federal
taxes that will be used to pay for Medicaid expansion in other
states. This is by far the highest of any other state. Texas has
already missed out on billions in federal funding due to them
refusing to expand Medicaid. Young adults need more
affordable health care as some get piled up with so much debt
with medical bills they are unable to do much else but pay bills
and live paycheck to paycheck. We all get sick its inevitable but
what we as a state do to help our healthcare for our resident
isn’t.Health Care for Texas’s Elderly and Disabled
In Texas, there are various amounts of individuals that are in
need of assistance in terms of their health. These people range
from infancy to the elderly. Whether it be disabilities to old
age, Texas can provide people (who qualify) with healthcare.
The elderly and the disabled are people that really need
assistance concerning their health. Texas assists both the elderly
and disabled by providing them with different forms of
healthcare, although some forms of healthcare provide the same
benefits. The types of healthcare for the elderly and disabled
included are as follows: Medicaid for long-term care, Medicaid
for people who get Supplementary Security Income (SSI),
Medicare Savings Program and Medicaid Buy-In for Adults
(YTB). Of the 4.5 million Texans on chip or Medicaid, around
373,300 of them are elderly and around 430,000 of them are
disabled (Leonardo). Now although Texas does provide
healthcare, that does not mean Texas provides a healthcare
system that cannot be changed for the better.
Medicaid for long-term care is a program in which it provides,
“Services and supports necessary to meet health and personal
6. care needs over an extended amount of time” (AOA). Long-term
care is not necessarily medical care but is mainly personal care.
The personal care consists of: bathing, dressing, using the
toilet, help with movement, caring for incontinence, and eating
(AOA). The eligibility requirements are as follows: is age 65 or
older or has a disability that is expected to last a year or longer,
needs 30 or more days of non-stop, long-term care, has little or
no money and finally, doesn’t own or is not paying for items
over a certain value (YTB). The benefits that this program
provides are not necessarily all that bad. Although there are
eligibility requirements that may hinder some elderly and
disabled. It is made for people who actually need the assistance.
The elderly and disabled that are trying to obtain both SSI and
Medicaid are also given benefits. The eligibility requirements
state that the person must be receiving Supplementary Security
Income. The benefits provided for these individuals are doctor’s
visits, drugs ordered by a doctor, lab and x-ray charges, hospital
care, vision and hearing care, and finally, dental care (YTB).
This is a great program especially for the elderly and disabled
who are working and have insufficient funds to live their lives.
The Medicare Savings Program gives the elderly and disabled a
cost-efficient way to pay their deductibles, monthly payments,
and co-pays. The people who are eligible for this program are
people who currently have Medicare, are not paying for items
over a certain value, and have little to no money. Little to no
money means an individual who receives around $2,030 a month
or is a married couple that earns up to $2,744 a month (YTB).
With the knowledge that is possessed there is no definite reason
to change this savings program. It helps the poor elderly and
disabled individuals pay their health finances, which is what it
states that it should accomplish.
Finally, the Medicaid Buy-In for Adults is a program especially
for those elderly and disabled individuals that are struggling
financially. The people that are eligible for this program are the
people who have a physical, intellectual, developmental, or
mental disability. It is also for individuals that work and who do
7. not live in nursing homes all the time (YTB). In order to receive
the benefits of this program individuals must “buy-in” to
Medicaid coverage by making monthly payments. It offers the
same benefits as the program that requires you to have both
Medicaid and SSI.
The people that are struggling to live are mainly the ones who
actually require assistance with these programs. The elderly and
the disabled especially, need these types of health care
programs that will assist them for the betterment of their health
and their future. The only problem that I believe should be
addressed is the leniency on the individuals of the healthcare
industry. For example, there was this elderly woman who was
stabbed and beaten by her healthcare provided care taker in
Arlington, TX. Luckily, she survived but she was still injured.
The culprit had previous charges for fraud and theft in 2011
(Fedschun). These scenarios should not occur and could have
been easily prevented if they did a proper background check and
some form of psych evaluation test.
The healthcare programs that are currently in place are not
horrible. Changes can be made but it would result in raising
taxes for the citizens in Texas. Furthermore, people are already
displeased as to where their tax money is spent on. So, with that
in mind, as long as these programs are fulfilling their objectives
then it will yield positive results for both the health industry in
Texas and its citizens.
Conclusion
8. Work Cited
Healthy Texas Women, www.healthytexaswomen.org/htw-
program.
Events, Life. “About Texas Benefits.” About Texas Benefits |
Texas-Benefits.org, texas-
benefits.org/medicaid/medicaid-how-to-.
“Medicaid for Breast and Cervical Cancer Program Managed
Care Expansion.” Texas Health and
Human Services, hhs.texas.gov/services/health/medicaid-
chip/programs/medicaid-breast-
cervical-cancer- program-managed-care-expansion.
“Early Childhood Intervention Services.” Texas Health and
Human Services,
hhs.texas.gov/services/disability/early-childhood-
intervention-services.
“Health care for people age 65+ and people with disabilities”
YourTexasBenefits, n.d
https://yourtexasbenefits.hhsc.texas.gov/programs/health
Accessed 25 October 2018.
“What is long term care?” LongTermCare, n.d.
https://longtermcare.acl.gov/the-basics/what-is long-term-
care.html Accessed 25 October 2018.