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2001 SCI Demonstration Grant

Awarded to: Arkansas Center for Health Improvement

The Arkansas Center for Health Improvement, sponsored by the Arkansas Department of Health and the University of Arkansas for Medical Sciences, was awarded a three-year grant in 2001. Having already received a HRSA State Planning Grant, Arkansas is building on qualitative and quantitative research, recently passed legislative initiatives, and a voter initiative to use tobacco settlement funds for Medicaid expansions. The SCI grant funds have supported work to expand coverage of pregnant women up to 200 percent FPL and 19-64 year-olds through a public-private partnership.

Grant Highlights

  • Arkansas Department of Human Services submitted a HIFA waiver to cover low-income workers in a safety nets benefit program in January 2003 and also submitted a revised waiver in the fall of 2004. It is still under consideration at CMS.
  • The Arkansas Health Insurance Roundtable was formed as a platform for development of long-term strategic health care plan. The roundtable members convene on a regular basis to discuss which models to pursue. Models currently under consideration include using the state's public employee pool as a mechanism to expand coverage, a "pay or play" strategy, and a reinsurance mechanism.
  • During 2004, work from the SCI grant helped initiate the Arkansas General Assembly Joint Interim Committee on Health Insurance and Prescription Drugs.
  • In 2001, legislation was passed allowing the development of Health Insurance Purchasing Groups (HIPGs).
  • SCI funding supports the Arkansas grant team in creating a long-term sustainable effort to promote the development of evidence-based health insurance policy and programs.
  • On January 1, 2005 the first HIPG, the North Little Rock Chamber Alliance Program, was created. It allows businesses with fewer than 100 employees to band together to purchase comprehensive insurance at lower rates. Administratively housed within and sponsored by the North Little Rock Chamber of Commerce, the program allows businesses with fewer than 100 employees to band together and negotiate coverage with health insurance carriers. As of July 2005, 500 individuals were enrolled in the HIPG.

IN-DEPTH: Arkansas Resources

Arkansas Center for Health Improvement, 2005 Arkansas Fact Book: A Profile of the Uninsured, 2005.

Arkansas Center for Health Improvement, Arkansas Health Insurance Expansion Initiative 2002 Roundtable Report, March 2002.

IN-DEPTH: Arkansas Legislation

Act 1308 of 2005, An Act to Revise the Subcommittees of the State and Public School Life and Health Insurance Board

Act 2292 of 2005, An Act Concerning the Arkansas Comprehensive Health Insurance Pool Act

Act 2293 of 2005, An Act to Regulate the Closing of Blocks of Business by Health Carriers

Act 94 of 2005, An Act to Allow for an Income Tax Deduction for Contribution Made to a Health Savings Account; To Exempt the Interest Earned on the Account from Income Tax; To Make Conforming Amendments to Existing Law

Act 1826 of 2005, An Act to Amend the Powers of the Arkansas Advisory Commission on Mandated Health Benefits; To Require Review and Evaluation of Insurance Mandated Legislation

Act 949 of 2005, An Act to Assist Small Employer Health Insurance Purchasing Groups

Act 1392 of 2003, An Act to Establish the Joint Interim Committee on Health Insurance and Prescription Drugs 

Act 1044 of 2003, An Act to Authorize a Health Insurance Flexibility and Accountability Initiative

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