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Children's Health Insurance Program: Difference between revisions
Children's Health Insurance Program (view source)
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The '''Children's Health Insurance Program''' ('''CHIP''') – formerly known as the '''State Children's Health Insurance Program''' ('''SCHIP''') – is a program administered by the [[United States Department of Health and Human Services]] that provides [[matching funds]] to states for [[health insurance]] to families with children.<ref>Sultz, H., & Young, K. Health Care USA Understanding its Organization and Delivery pg. 257</ref> The program was designed to cover uninsured children in families with incomes that are modest but too high to qualify for [[Medicaid]]. The program was passed into law as part of the [[Balanced Budget Act of 1997]], and the statutory authority for CHIP is under title XXI of the [[Social Security Act]]. | The '''Children's Health Insurance Program''' ('''CHIP''') – formerly known as the '''State Children's Health Insurance Program''' ('''SCHIP''') – is a program administered by the [[United States Department of Health and Human Services]] that provides [[matching funds]] to states for [[health insurance]] to families with children.<ref>Sultz, H., & Young, K. Health Care USA Understanding its Organization and Delivery pg. 257</ref> The program was designed to cover uninsured children in families with incomes that are modest but too high to qualify for [[Medicaid]]. The program was passed into law as part of the [[Balanced Budget Act of 1997]], and the statutory authority for CHIP is under title XXI of the [[Social Security Act]]. | ||
CHIP was formulated in the aftermath of the failure of President [[Bill Clinton]]'s [[Clinton health care plan of 1993|comprehensive health care reform proposal]]. First Lady Hillary Clinton's brainchild in the aftermath of the failing of passage of her healthcare reform work, this Legislation to create CHIP was co-sponsored by | CHIP was formulated in the aftermath of the failure of President [[Bill Clinton]]'s [[Clinton health care plan of 1993|comprehensive health care reform proposal]]. First Lady Hillary Clinton's brainchild in the aftermath of the failing of passage of her healthcare reform work, this Legislation to create CHIP was co-sponsored by Democratic Senator [[Ted Kennedy]] and [[Republican Party (United States)|Republican]] Senator [[Orrin Hatch]]. Despite opposition from some conservatives, SCHIP was included in the Balanced Budget Act of 1997, which President Clinton signed into law in August 1997. At the time of its creation, SCHIP represented the largest expansion of taxpayer-funded health insurance coverage for children in the U.S. since the establishment of [[Medicaid]] in 1965.{{citation needed|date=September 2013}} The Children's Health Insurance Reauthorization Act of 2009 extended CHIP and expanded the program to cover an additional 4 million children and pregnant women, and the [[Bipartisan Budget Act of 2018]] extended CHIP's authorization through 2027{{Citation needed|date=March 2023}}. | ||
CHIP was designed as a federal-state partnership similar to [[Medicaid]]; programs are run by the individual states according to requirements set by the federal [[Centers for Medicare and Medicaid Services]]. States are given flexibility in designing their CHIP policies within broad federal guidelines, resulting in variations regarding eligibility, benefits, and administration across different states. Many states contract with private companies to administer some portions of their CHIP benefits. Some states have received authority to use CHIP funds to cover certain adults, including pregnant women and parents of children receiving benefits from both CHIP and Medicaid. | CHIP was designed as a federal-state partnership similar to [[Medicaid]]; programs are run by the individual states according to requirements set by the federal [[Centers for Medicare and Medicaid Services]]. States are given flexibility in designing their CHIP policies within broad federal guidelines, resulting in variations regarding eligibility, benefits, and administration across different states. Many states contract with private companies to administer some portions of their CHIP benefits. Some states have received authority to use CHIP funds to cover certain adults, including pregnant women and parents of children receiving benefits from both CHIP and Medicaid. | ||
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== Reauthorization == | == Reauthorization == | ||
SCHIP was created in 1997 as a ten-year program; to continue past federal fiscal year 2007, passage of a reauthorization bill was required. The first two reauthorization bills to pass through Congress would also expand the program's scope; President | SCHIP was created in 1997 as a ten-year program; to continue past federal fiscal year 2007, passage of a reauthorization bill was required. The first two reauthorization bills to pass through Congress would also expand the program's scope; President George W. Bush vetoed them as improper expansions. A two-year reauthorization bill was signed into law by the President in December 2007 that would merely extend current CHIP services without expanding any portion of the program. With the 2008 Presidential and Congressional elections giving Democrats control of the Oval Office as well as expanded majorities in both houses of Congress, CHIP was reauthorized and expanded in the same bill through fiscal year 2013. | ||
===2007 reauthorization=== | ===2007 reauthorization=== | ||