Children’s Health Insurance Resources
Through Medicaid and the Children’s Health Insurance Program (CHIP), states and the nation have made substantial progress in covering children and improving their access to quality health care supporting healthy growth and development. With ongoing funding from the David and Lucile Packard Foundation, NASHP has supported, analyzed, and reported on state efforts to extend children’s coverage since the CHIP program’s inception, building on our longstanding work on Medicaid. NASHP supports active state-to-state exchange and collaborative learning by regularly convening state officials working on children’s coverage issues. The resources listed below are intended to provide information about children’s coverage for state and federal program administrators and policymakers as well as other stakeholders and can help inform state and national policy discussions about the future of children’s coverage.
- State CHIP Fact Sheets
These fact sheets provide key, up-to-date information about the Children’s Health Insurance Program (CHIP) for each state, including data on enrollment, participation rates, eligibility levels, benefits, cost sharing requirements, and other key program characteristics.
Children’s Health Insurance Program Frequently Asked Questions
The Children’s Health Insurance Program (CHIP) was enacted in 1997 under Title XXI of the Social Security Act and has since provided critical health coverage to children in families with low to moderate income. In FY2016 more than 8.9 million children were enrolled in CHIP. This factsheet is intended to provide an overview of CHIP
The Clock is Ticking as We Enter a Critical Time for the Future of CHIP
This new blog highlights for federal and state policymakers and other stakeholders the main policy and programmatic issues and critical decision points that states would confront if federal CHIP funding remains uncertain in the coming months, and provides links to other resources on the topic.
- State Perspectives on Children’s Coverage in the Changing Health Policy Landscape
This brief highlights the main themes from a February 2017 discussion with CHIP and Medicaid officials about ways to ensure that children’s health coverage needs continue to be met in the changing health policy environment.
Summary of NASHP’s 2017 CHIP Directors Survey
This February 2017 summary of NASHP’s survey of state CHIP officials highlights how states are budgeting and planning for CHIP considering its uncertain future beyond September 2017.
MACPAC Recommendations for the Future of CHIP and Children’s Coverage
This January 2017 report describes the recommendations of the Medicaid and CHIP Payment and Access Commission (MACPAC) on the future of CHIP and children’s coverage.
MACPAC 2016 CHIP Fact Sheet
This fact sheet provides information on how CHIP works, who is enrolled in CHIP, federal Medicaid and CHIP matching rates, and CHIP enrollment and income eligibility levels by CHIP program type and state.
Potential Options and Policy Questions for Improving Exchange Coverage for Children
This brief examines potential options and policy questions for improving exchange coverage for children in terms of both affordability and pediatric benefit adequacy. In May 2016, NASHP convened a group of stakeholders including state officials, health policy researchers and advocates to explore ways to maintain affordable and comprehensive children’s coverage, and the brief summarizes the key themes from the group’s discussion.
Planning Now: State Policy and Operational Considerations if Federal CHIP Funding Ends
This blog outlines some of the main policy and operational issues and changes for states if federal CHIP funding is not extended beyond September 2017 and provides context about some of the factors that add complexity to state decision making.
Looking Ahead: A Timeline of State Policy and Operational Considerations if Federal CHIP Funding Ends for States
This timeline highlights the main policy and programmatic issues and critical decision points that states would confront if federal CHIP funding remains uncertain beyond September 2017.
Using CHIP and the ACA to Better Serve Children Now and in the Future
This March 2016 brief provides an overview of children’s current coverage options and summarizes the themes from a September 2015 stakeholder group discussion focused on identifying potential options for ensuring strong children’s coverage into the future.
Children’s Coverage Beyond CHIP: Policy Considerations for States
If federal CHIP funding is not extended beyond September 2017, children may need to transition to other sources of coverage in the future. This June 2015 webinar included perspectives from a national expert and officials from three different state health and insurance agencies to surface issues and questions about the future of children’s coverage.
Toolbox for Advancing Children’s Coverage through Health Reform Implementation
This online resource is a comprehensive and centralized source of information related to the impact of the ACA on children’s coverage, and includes relevant research and state examples.
Benefits and Cost Sharing in Separate CHIP Programs
This report, developed jointly with the Georgetown University Center for Children and Families, examines the scope of coverage and cost sharing in separate CHIP programs and can help inform discussions related to how CHIP compares to qualified health plans.
Benefits and Cost Sharing in Separate CHIP Programs: Policy Implications in the Context of the ACA
This webinar features information from the Benefits and Cost Sharing report and presentations from both NASHP and CCF, as well as perspectives from Sharon Carte, West Virginia’s CHIP Director and a Medicaid and CHIP Payment and Access Commission (MACPAC) member.
Health Care Reform and Children: Planning and Design Considerations for Policymakers
This brief examines potential challenges and opportunities for making health care reform work for children and youth, and describes some of the major implications of the ACA in regard to outreach, eligibility, coverage and access for children.
Keeping Children’s Coverage Strong in the Context of the Affordable Care Act: Perspectives from State Children’s Health Insurance Leaders
This brief highlights key considerations for children’s coverage that emerged from discussions with CHIP program directors soon after the passage of the ACA.