New CHIPRA Opportunity: Express Lane Eligibility

The Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA) provides states with new tools to reach, enroll and retain eligible but unenrolled children in Medicaid and CHIP. One such tool is the option to develop and implement Express Lane Eligibility (ELE), which allows states to enroll and renew children in Medicaid and CHIP based on eligibility findings of other government agencies.

While a number of states had begun to pursue automated strategies to increase enrollment prior to CHIPRA, the ELE provision is expected to provide states with opportunities to further reduce existing barriers and simplify enrollment and renewals. With the support of the David and Lucile Packard Foundation, the National Academy for State Health Policy (NASHP) presented this web seminar to explore the ELE option.

The webinar includes an overview of the ELE option in CHIPRA, including a look at early experiments with ELE that fed into how the law was drafted. We heard from a national expert who has studied the experiences of other public programs’ use of automated strategies and who explored how states can use automation, and the options in ELE, to identify, enroll and retain children in health coverage. Finally, we learned about two states’ current efforts to implement ELE, including the initial steps they took prior to CHIPRA and their expectations for results using the new tools in CHIPRA.


Beth Morrow, Staff Attorney, National Health Program, The Children’s Partnership
Catherine Hess, Managing Director for Coverage and Access, NASHP
Ruth Kennedy, LaCHIP Director, Office of Health Services Financing
Stan Dorn, Senior Research Associate, The Urban Institute
Valerie Harr, Deputy Director, Department of Health and Human Services


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