1. Former Foster Youth and the ACA What is available to this population and how do state advocates take advantage of the opportunities?

2. Former Foster Youth: A Snapshot High medical needs: chronic disease management, mental health needs. Few safety nets. Often transient.

3. Section 2004 of the ACA History of the Provision Proposed Rule: 42 CFR 435.150 (http:www.gpo.gov/fdsys/pkg/FR-2013-01- 22/pdf/2013-00659.pdf) FAQs: http://www.medicaid.gov/Federal-Policy- Guidance/downloads/FAQ-12-27-13-FMAP-Foster- Care-CHIP.pdf

4. Background of Section 2004 Young adult provision in the ACA. Senator Landrieu’s efforts to create equity. The Basic Provision: States must cover individuals under age 26 who were both enrolled in Medicaid and in foster care under the state or tribe upon attaining age 18 or such higher age as the state permits.

5. Proposed Rule/Final Rule: Outstanding Questions State Option: states are not mandated to cover former foster youth from other states. Screening for other eligibility criteria: must this be done? “Or such higher age as the state has elected”: what does this mean? Youth in the juvenile justice system: what about them?

6. Implementation: What are States Doing? Former foster youth: how do we find these young adults? Current foster youth: how do we ensure their enrollment? Collaborations/Partnerships: what new friends can support our efforts?

7. Contact Information Brooke Lehmann, MSW, Esquire blehmann@childworkspllc.com 202-841-4341