Majority of States Planning on Federal Funding for CHIP to Continue According to New Nationwide Survey of CHIP Directors

The National Academy for State Health Policy (NASHP) today released the findings of a nationwide survey of CHIP Directors that shows a majority of states are planning upcoming budgets on the assumption federal funding for the Children’s Health Insurance Program (CHIP) will continue. Only five states have begun the initial efforts of contingency plans should funding not be extended. 

With current Federal funding set to expire on September 30 if Congress takes no action, NASHP surveyed CHIP Directors in all 50 states and the District of Columbia in December 2016.  In total 40 states responded to the survey, although not every state responded to every question.  

Key findings include:

  • 33 out of 40 states have proposed budgets that assume federal funding for CHIP will continue.
  • 28 out of 36 states have not yet begun developing contingency plans for the possibility of federal funding ending.
  • 16 out of 35 states indicated initial discussions regarding potential implications on children’s coverage if the Affordable Care Act (ACA) is repealed and/or Congress implements Medicaid financing changes.
  • 22 out of 38 states indicated their governor is including funds for the CHIP match in their state budget.
  • 21 out of 38 states indicated their state’s proposed budget assumes the 23 percent bump in federal CHIP funding will be available.

“States have made substantial progress in covering children and improving their access to quality health care,” said Trish Riley, NASHP executive director. “With federal funding uncertain, and state budgets already tight, states must look for alternative funding sources or risk children in their states losing coverage and access to care.”

This survey is intended to provide a snapshot of state budgeting and planning given the current context of program funding uncertainty.   See the full results.

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The National Academy for State Health Policy (NASHP) is an independent academy of state health policymakers. We are dedicated to helping states achieve excellence in health policy and practice. A non-profit and non-partisan organization, NASHP provides a forum for constructive work across branches and agencies of state government on critical health issues.