State Children's Health Insurance Program (CHIP) Legislative History

February 18, 2009 (R40229)

Contents

Summary

The Balanced Budget Act of 1997 (P.L. 105-33, BBA-97) established the State Children's Health Insurance Program (CHIP) under a new Title XXI of the Social Security Act. CHIP builds on Medicaid by providing health care coverage to low-income, uninsured children in families with incomes above applicable Medicaid income standards. This report provides a summary of major changes to the State Children's Health Insurance Program (CHIP) enacted in public laws beginning with the legislation authorizing the program in 1997. It will be updated as legislative activity warrants.


State Children's Health Insurance Program (CHIP) Legislative History

Background

The Balanced Budget Act of 1997 (P.L. 105-33, BBA-97) established the State Children's Health Insurance Program (CHIP) under a new Title XXI of the Social Security Act. CHIP builds on Medicaid by providing health care coverage to low-income, uninsured children in families with incomes above applicable Medicaid income standards. This report provides a summary of major changes to CHIP enacted in public laws beginning with the legislation authorizing the program in 1997.

Balanced Budget Act of 1997 (BBA 97), P.L. 105-33

District of Columbia Appropriations Act of 1998, P.L. 105-100

Omnibus Consolidated and Emergency Supplemental Appropriation Act, FY1999, P.L. 105-277

The Medicare, Medicaid and SCHIP Balanced Budget Refinement Act of 1999 (BBRA 99), incorporated by reference in the Consolidated Appropriations Act for Fiscal Year 2000, P.L. 106-113

Agriculture Risk Protection Act of 2000, P.L. 106-224

Children's Health Act of 2000, P.L. 106-310

Medicare, Medicaid and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA), incorporated by reference into the Consolidated Appropriations Act 2001, P.L. 106-554

Public Health Security and Bioterrorism Preparedness and Response Act of 2002, P.L. 107-188

Health Care Safety Net Amendments of 2002, P.L. 107-251

State Children's Health Insurance Program Allotments Extension Act, P.L. 108-74

Technical Corrections with Respect to the Definition of Qualifying State, P.L. 108-127

Deficit Reduction Act of 2005, P.L. 109-171

National Institutes of Health Reform Act of 2006, P.L. 109-482

U.S. Troop Readiness, Veterans' Care, Katrina Recovery, and Iraq Accountability Appropriations Act, 2007, P.L. 110-28

Continuing Resolutions (P.L. 110-92, P.L. 110-116, P.L. 110-137, P.L. 110-149)

Medicare, Medicaid, and SCHIP Extension Act of 2007, P.L. 110-173

Children's Health Insurance Program Reauthorization Act of 2009 (P.L. 111-3)

Footnotes

1.

For the latest evaluation report, see [http://www.cms.hhs.gov/Reports/Downloads/Rosenbach9-19-07.pdf]. For additional reports describing results from other components of the national evaluation of CHIP, go to [http://aspe.os.dhhs.gov/health/schip/schiphome.htm].

2.

See for example, Department of Health and Human Services, Office of Inspector General, State Children's Health Insurance Program: Assessment of State Evaluations Reports, OEI-05-00-00240, February 2001, and Department of Health and Human Services, Office of Inspector General, State Children's Health Insurance Program: Ensuring Medicaid Eligibles are not Enrolled in CHIP, OEI-05-00-00241, February 2001.

3.

See for example, U.S. General Accounting Office, Children's Health Insurance: Inspector General Reviews Should Be Expanded to Further Inform the Congress, GAO-02-512, March 2002.

4.

For example, if a state's FY1998 allotment was $10 million, and the state's FY1998, FY1999 and FY2000 spending totaled $12 million, the state would receive access to a redistribution of $2 million.

5.

Cost estimates from the Congressional Budget Office (CBO) indicated that CHIPRA would increase overall outlays (across all provisions of the bill) by $32.8 billion over five years (FY2009-13), which would be offset primarily by increases in federal tobacco taxes, estimated to increase on-budget revenue by $32.8 billion over five years.