Benefits and Cost Sharing in Separate CHIP Programs: Policy Implications in the Context of the ACA

The Children’s Health Insurance Program (CHIP) is designed to address the unique health coverage needs of children, and as implementation of the Affordable Care Act (ACA) moves forward, the future role of CHIP is receiving increased attention. Considerations about the future of CHIP and of other coverage options for children requires a solid understanding of what children are receiving now. Key among the considerations is the comparability of CHIP and qualified health plans, which the ACA requires the Secretary of the Department of Health and Human Services to assess. CHIP’s current funding authorization expires at the end of federal fiscal year 2015, increasing the urgency of turning attention to questions about its future and how it fits into the new context of health insurance coverage options available through the ACA.

This webinar will highlight the findings of a forthcoming report from NASHP and the Georgetown University Center for Children and Families (CCF) that examines the covered benefits, limitations, and premium and cost-sharing provisions of separate CHIP programs. This analysis can inform state and national policymakers and stakeholders about the scope of benefits and cost sharing requirements in separate CHIP programs in advance of the Secretary’s comparability determination and as the role of CHIP is considered in the changing health insurance landscape. The webinar will explore issues such as:

  • The benefit design approaches states have taken in their separate CHIP programs
  • The scope of coverage of benefits important to children, including children with special health care needs, such as vision, hearing, oral health, and behavioral health care and therapy services
  • The premium and cost sharing amounts in separate CHIP programs

The webinar will feature 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.


  • Catherine Hess, Managing Director for Coverage and Access, National Academy for State Health Policy
  • Joan Alker, Executive Director, Georgetown University Center for Children and Families
  • Sharon Carte, Executive Director, West Virginia Children’s Health Insurance Program; Member of the Medicaid and CHIP Payment and Access Commission (MACPAC)
  • Joanne Jee, Program Director, National Academy for State Health Policy (Moderator)
  • Joe Touschner, Senior Health Policy Analyst, Georgetown University Center for Children and Families
  • Anita Cardwell, Policy Specialist, National Academy for State Health Policy
Download Webinar Slides 2 MB


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