HHS Secretary Urges Congress To Approve Uninsured Package
Comprehensive approach necessary to provide more care to more families

Tuesday, Sept. 30, 2003

Contact: HHS Press Office
(202) 690-6343

HHS Secretary Tommy G. Thompson said the release of today's uninsured numbers show that while the number of Americans
with health insurance continued to rise, the nation must do more to increase access to health care. Secretary Thompson
also urged Congress to approve President Bush's comprehensive plan to reduce the number of uninsured in America.

A Census Bureau report released today showed that the number of Americans with health insurance increased by 1.5
million between 2001 and 2002. The overall percentage of uninsured in the United States rose to 15.2 percent in 2002,
although the percentage of children with health insurance held steady at 88.4 percent -- indicating that innovative
policies to provide health coverage helped blunt the impact of the economic slowdown.

"Our aggressive approach to providing health coverage for families helped provide access to health care -- particularly
for children -- and eased the impact of the economic slowdown," Secretary Thompson said. "But we must do more. Reducing
the number of uninsured in America is a complex problem that requires a comprehensive solution. President Bush has an
ambitious plan that we need Congress to support."

"We are taking a bold approach to provide health insurance to families through Medicaid and the State Children's Health
Insurance Program, but Congress must give us more tools to provide more care to more families."

President Bush and Secretary Thompson are taking an aggressive approach to reducing the number of uninsured, and
nowhere is that more obvious than its approach to the waiver process for the Medicaid and State Children's Health
Insurance Programs (SCHIP). Under Secretary Thompson, HHS quickly erased the backlog of state requests for waivers and
plan amendments. He has approved more than 2,500 waivers and plan amendments that have expanded access to health
coverage for more than 2.5 million people and expanded the range of benefits offered to 6.7 million other Americans.

Key elements of the President's fiscal year 2004 budget plan to help the uninsured include:

Expanding health centers. The budget plan would increase funding for health centers by $169 million under the third
year of the President's five-year initiative to add or expand 1,200 new health center sites and provide health care to
more than 6 million additional Americans, including many without health insurance. Health centers deliver preventive
and primary care to patients regardless of their ability to pay. About 40 percent of the patients treated at health
centers have no insurance coverage, and many others have inadequate coverage. With the proposed increase, HHS would
fund health centers at a record level of $1.6 billion. The increase would support the creation of about 94 new centers
and expand another 94 existing sites for a total of nearly 3,700 health center sites, up from 3,317 in fiscal year 2001
before the initiative began. These centers would provide health care and preventive services for almost 14 million
people, up from 10.3 million Americans in 2001.

Recruiting clinicians in underserved rural and urban areas. To meet the demands for physicians and other clinicians in
health centers and other underserved areas, the HHS budget also will propose a $24 million increase for the National
Health Service Corps. This program offers scholarships and loan repayment plans to doctors and other clinicians who
agree to serve in health centers or in other locations serving underserved communities. The increase would help support
a total of nearly 4,300 doctors, dentists and other clinicians in the field -- nearly 2,000 more clinicians than in
fiscal year 2001.

Offering health credits. The President's budget also proposes $89 billion in new health credits to make private health
insurance more affordable for Americans who do not have employer-subsidized insurance. As part of the Department of
Treasury budget proposal, eligible families with two or more children and incomes under $25,000 could receive up to a
$3,000 credit to cover as much as 90 percent of the costs of purchasing health insurance. The credit phases out at
$60,000 for families. Eligible individuals earning up to $15,000 annually would receive up to a $1,000 tax credit. For
individuals, the credit phases out at $30,000. The credits are refundable, so their value does not depend on taxes
owed. Beginning in July 2005, advance credits will be available allowing individuals to directly reduce their monthly
premium payments. Starting in 2005, for certain individuals, states could provide the power of group purchasing for the
health credits through state-sponsored purchasing pools, for example, through state employee purchasing pools or SCHIP
purchasing pools for private insurance. The health credits could also be used in privately sponsored health insurance
purchasing groups. This proposal is expected to provide coverage for Americans who would otherwise be uninsured for one
or more months, and will help many more working low- and moderate-income families who currently purchase private health
insurance with little or no government help.

Extending availability of SCHIP funds. The President's budget plan for HHS would strengthen SCHIP by making available
to states an estimated $830 million in unused SCHIP funds that otherwise would return to the federal treasury at the
end of fiscal year 2003. The SCHIP law originally required states that did not use their full SCHIP allotment during
the previous three years to return the unused funds. By giving states more time to take advantage of these matching
funds, the budget creates the opportunity for states to expand coverage to the uninsured.

Extending transitional medical assistance. The President's budget plan provides $400 million in fiscal year 2004 and
$2.4 billion over five years to continue funding Medicaid for families in transition from welfare to work. This
coverage helps to ensure that work pays for families by preventing them from losing their health coverage when they
start jobs.

Helping displaced workers retain health insurance. The Bush Administration is implementing a tax credit to help workers
who lose their jobs due to international trade so that they can obtain health insurance coverage. Eligible individuals -
- displaced workers and certain recipients of benefits from the Pension Benefit Guaranty Corporation -- will be able to
receive a tax credit of 65 percent toward their cost of health insurance. More than 500,000 people, including
dependents, may obtain health coverage using this credit this year. The program is overseen by the Department of
Treasury.

Encouraging qualified high-risk insurance pools. The President's fiscal year 2004 budget continues a HHS program to
help states create qualified high-risk pools that will provide health coverage to individuals who otherwise would have
difficulty obtaining coverage because of their health status. This program began in fiscal year 2003 and HHS is already
providing up to $20 million to support state efforts to create high-risk pools to help residents obtain coverage.
During fiscal years 2003 and 2004, HHS would make an additional $80 million in grants available to help cover losses
incurred by states with existing qualified high-risk pools.

Expanding and extending Medical Savings Accounts. The President's budget plan would make Medical Savings Accounts
(MSAs) a permanent option for Americans who have high-deductible, "catastrophic" health coverage. Under current law, no
more than 750,000 Americans can establish tax-free MSAs to cover routine medical bills and related extensions, and no
such accounts can be established after Dec. 31, 2003. The Department of Treasury's budget would eliminate those
limitations to allow more Americans to purchase relatively low-premium, high-deductible plans and to use tax-free MSA
contributions to cover their routine medical expenses.

Helping small businesses through Association Health Plans. The President's budget plan for the Department of Labor
would create Association Health Plans (AHPs) that would provide millions of small business owners and their employees
access to quality, affordable health care. AHPs would achieve savings for small businesses through greater bargaining
power, economies of scale, and administrative efficiencies. Sixty percent of employees employed by a small business do
not have health insurance for themselves and their families. According to the non-partisan Congressional Budget Office,
AHPs will lower health insurance premiums by 13 percent and provide health insurance to as many as two million
Americans who are currently uninsured.

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Note: All HHS press releases, fact sheets and other press materials are available at http://www.hhs.gov/news.

Last Revised: September 30, 2003

SOURCE: U.S. Department of Health & Human Services
http://www.os.dhhs.gov/news/press/2003pres/20030930b.html

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