Medicaid and CHIP Payment and Access Commission
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Medicaid and CHIP Payment and Access Commission (MACPAC) is an independent agency that provides policy analysis and advice to Congress on issues related to Medicaid and the Children's Health Insurance Program (CHIP).
Mission
The mission of MACPAC is to furnish Congress with expert, data-driven analysis and recommendations concerning Medicaid and CHIP policy. It focuses on enhancing program access, evaluating payment policies, and analyzing the quality and efficiency of health care services provided under these programs to ensure they meet the needs of beneficiaries.
Parent organization
MACPAC operates independently without a parent organization, directly advising Congress.
Legislation
MACPAC was established by the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA), which mandated the creation of an advisory commission for Medicaid and CHIP.
Partners
MACPAC collaborates with:
- Centers for Medicare & Medicaid Services (CMS)
- Various state Medicaid agencies
- Health policy organizations and research institutions.
Number of employees
MACPAC has approximately 30 employees.
Organization structure
- Commissioners, appointed by the Comptroller General, bring diverse expertise in health policy, finance, and administration.
- Research and Analysis Staff support the commission with detailed studies and reports.
List of programs
- Annual Reports to Congress - https://www.macpac.gov/reports/
- Public Meetings - https://www.macpac.gov/public-meetings/
- Issue Briefs and Data Reports - https://www.macpac.gov/publication-type/issue-briefs/
Last total enacted budget
The last total enacted budget for MACPAC was approximately $11 million for the 2024 Fiscal Year.
Leader
The organization is led by a Chair.
Services provided
MACPAC conducts in-depth research, publishes reports, holds public meetings to discuss policy issues, and makes recommendations to Congress on Medicaid and CHIP policy. It examines access to care, payment systems, quality of care, and the overall impact of these programs on health care delivery in the United States.
Regulations overseen
MACPAC does not directly oversee regulations but influences policy through its advisory role to Congress, which can lead to legislative changes affecting Medicaid and CHIP.
Headquarters address
1800 M Street NW, Suite 650 South, Washington, DC 20036, USA
History
MACPAC was created by the Children's Health Insurance Program Reauthorization Act of 2009 in response to the need for a dedicated advisory body on Medicaid and CHIP, replacing the previous Medicaid Commission. Since its inception, MACPAC has been pivotal in providing Congress with insights and recommendations to shape health policy for low-income and vulnerable populations, addressing issues from payment adequacy to program integrity.