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.
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.
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. |