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Issue: Disruptions in health coverage may delay care for children and create higher administrative costs. To address these disruptions, the Consolidated Appropriations Act of 2022 requires states to give children 12 months of continuous eligibility for Medicaid and the Children’s Health Insurance Program (CHIP) by 2024. Currently, 33 states offer continuous eligibility to at least some children. Goal: To estimate how ensuring 12-month and 24-month continuous eligibility for all children in Medicaid and CHIP would affect health care coverage and costs. Methods: Simulation of changes in health coverage and government spending impact, using the Urban Institute’s Health Insurance Policy Simulation Model. Key Findings and Conclusions: When all states adopt 12-month continuous eligibility in 2024, Medicaid and CHIP enrollment in states that do not already have it will increase by 239,000 children in an average month, an increase of 0.6 percent. Families will spend an estimated $292 million less on health care, an average of $1,222 less per year for each child newly enrolled in Medicaid and CHIP. Federal spending will increase by $458 million annually, and state spending will increase by $238 million annually, both only 0.1 percent increases in government spending on acute care for the nonelderly. Adopting continuous eligibility for 24 months would further expand child health coverage and reduce costs for families. [ABSTRACT FROM AUTHOR]

The article provide information on selected health care-related provisions that have expired or are scheduled to expire during the first session of the 118th Congress. It is reported that the expiring provisions are defined as time-limited portions of law that will lapse once a statutory deadline is reached. It covers expiring provisions related to Medicare, Medicaid, the State Children's Health Insurance Program (CHIP), and private health insurance programs and activities.

The article offers information on the U.S. federal financing for the State Children's Health Insurance Program (CHIP). The program provides health coverage to children and pregnant women in low-income families. The federal appropriation for the program depends on the enhanced federal medical assistance percentage (E-FMAP) rate. The Bipartisan Budget Act of 2018 provided appropriations for the program for fiscal years from 2024 to 2027.

The article provides information on the Congressional Research Service Report prepared for the U.S. Congress on Bipartisan Budget Act (BBA) of 2018 and its provisions. Topics include the Children's Health Insurance Program Reauthorization Act of 2009, the extension of Child Enrollment Contingency Fund, and the extension of Pediatric Quality Measures Program.

On February 9, 2018, President Donald Trump signed into law the Bipartisan Budget Act of 2018 (BBA 2018; P.L. 115-123). Division E of that law is titled the Advancing Chronic Care, Extenders, and Social Services (ACCESS) Act. This report provides a brief summary of each of the provisions included in the ACCESS Act, along with the contact information for the CRS expert who can answer questions about each provision. Division E consists of 12 titles. Each title is addressed in a separate table, and the provisions are discussed in the order they appear in the law. Topics discussed in this report include Medicare, Medicaid, the State Children's Health Insurance Program (CHIP), public health, child and family services, foster care, social impact partnerships, child support enforcement, and prison data reporting. Subsequent CRS reports examining selected subsets of these provisions will be linked to this report as they become available. [ABSTRACT FROM AUTHOR]

The article offers information on comparison of the bills to extend state Children's Health Insurance Program (CHIP) Funding. Topics discussed include CHIP target low-income children and pregnant women in families; HEALTHY KIDS Act modify the Medicaid disproportionate share hospital; and amendment posted by the House Rules Committee.

Public and private health care spending is growing due to increased enrollment in health insurance, demographic changes of an aging society, and the expansion of government programs, among other reasons. While much attention is being paid to the budgetary cost of outlays from the largest federally funded health programs (Medicare, Medicaid, and the Children's Health Insurance Program), the implicit subsidies in the Internal Revenue Code for the provision of private- and publicly-provided health insurance are sometimes less prominent in public debates. These subsidies are tax expenditures, or provisions that confer preferential tax status to certain forms of income, and result in revenue foregone. This report primarily analyzes health-related tax expenditures, or tax expenditures associated with health and Medicare. As of FY2015, JCT identified 14 health tax expenditures. From FY1974 to FY2014, JCT had been identifying three Medicare-related tax expenditures based on the taxexcluded value of benefits in excess of insurance payments (not the total value of benefits). The single largest tax expenditure is the tax exclusion for employer-sponsored insurance and health coverage (ESI). From FY2015 to FY2019, JCT estimates that the annual tax expenditure amount for the ESI tax exclusion will increase from $145.5 billion to $169.4 billion. The second largest health tax expenditure is for subsidies for insurance purchased in the exchanges (i.e., the advance premium tax credits, or APTCs). From FY2015 to FY2019, JCT estimates that the annual tax expenditure amount for APTCs will increase from $29.6 billion to $84.8 billion. Congressional interest in health-related tax expenditures could be related to the value of healthrelated tax expenditures over time, their value relative to total revenue collected, and how they compare to the value of discretionary and mandatory outlays for health. Health-related tax expenditures have increased in value over time, after adjusting for inflation in constant 2014 dollars. From FY1974 to FY2014, real health-related tax expenditures have increased, on average, at an annual rate of 7.5%. Looking forward, the nominal value of health tax expenditures is estimated to increase from $210.4 billion in FY2015 to $296.2 billion in FY2019. Health-related tax expenditures have also increased in value relative to total revenue collected, from 1.9% in FY1974 to 8.4% in FY2014. In other words, health-related tax expenditures have generally increased at a rate greater than the growth of total revenue collections. Over this FY1974 to FY2014 period, the value of health-related tax expenditures as a percent of GDP exceeded health discretionary outlays, but were still much less than health mandatory outlays according to analyses of Office and Management and Budget (OMB) data on health and Medicare spending. This report analyzes these provisions at the level of a budget function, rather than focusing any single provision. For more information on individual health tax expenditures, see CRS Committee Print CP10001, Tax Expenditures: Compendium of Background Material on Individual Provisions - A Committee Print Prepared for the Senate Committee on the Budget, by Jane G. Gravelle et al. For broader analysis of tax expenditures and comparisons of different categories of tax expenditures, by budget function, see CRS Report R44012, Tax Expenditures: Overview and Analysis, by Donald J. Marples, Tax Expenditures: Overview and Analysis, by Donald J. Marples. [ABSTRACT FROM AUTHOR]

A summary is presented of the U.S. House Resolution (H.R.) 2 Medicare Access and Children's Health Insurance Program (CHIP) Reauthorization Act (MACRA) of 2015, passed by the U.S. House of Representatives on March 26, 2015.

The article presents a legal analysis of the U.S. House Resolution (H.R.) 2 Medicare Access and Children's Health Insurance Program (CHIP) Reauthorization Act (MACRA) of 2015, passed by the U.S. House of Representatives on March 26, 2015. Topics discussed include the 2-year extension for the financing of CHIP, the role of the U.S. Centers for Medicare & Medicaid Services (CMS) in its implementation, and the development of the merit-based incentive payment system (MIPS).

The article discusses U.S. President Barack Obama's budget proposal for the Centers for Medicare & Medicaid Services (CMS) for fiscal year 2016. Topics discussed include sections of the CMS budget including Medicare, Medicaid and State Children's Health Insurance Program (CHIP), the responsibilities of CMS, and the reputation of CMS as the country's biggest health care purchaser.

The article offers information on the Children's Health Insurance Program (CHIP) in the U.S. It states that the program enroll children below the age of 19 from families with incomes below the 200 percent of the federal poverty level. It cites that the program enrollees are entitled to full range of Medicaid-covered services. It also mentions that states are required to established CHIP programs.

The 111th Congress has devoted considerable effort to health reform that seeks to increase health insurance coverage for more Americans and help to control costs, while improving quality and patient outcomes. The Affordable Health Choices for America Act (H.R. 3962) was introduced in the House of Representatives on October 29, 2009. H.R. 3962 is based on H.R. 3200, America's Affordable Health Choices Act of 2009, originally introduced on July 14, 2009, and reported separately on October 14, 2009, by three House Committees-Education and Labor, Energy and Commerce, and Ways and Means. H.R. 3962 was further modified by the manager's amendment posted on November 3, 2009. H.R. 3962, as passed by the House on November 7, 2009, proposes sweeping reforms of the health care delivery system, described in the three divisions. Division A, "Affordable Health Care Choices," focuses on reducing the number of uninsured, restructuring the private health insurance market, setting minimum standards for health benefits, and providing financial assistance to certain individuals and small employers. Division B, "Medicare and Medicaid Improvements," proposes modifications to the largest two public health insurance programs to make them consistent with provisions in Division A and to amend other provisions in existing federal statute. Division C, "Public Health and Workforce Development," would amend and expand existing health professions and nursing workforce programs. A Republican alternative amendment in the nature of a substitute, dated November 3, 2009, is addressed in a separate CRS report. This report summarizes the major provisions affecting Medicaid and CHIP in H.R. 3962 (as passed), including modifications made by the manager's amendment. The report focuses primarily on provisions in Division B, Title VII-Medicaid and CHIP, plus selected provisions in Title IX-Miscellaneous Provisions. It also describes selected sections of Titles I and II of Division D, the Indian Health Care Improvement Act Amendments of 2009, related to improving access to Medicaid and CHIP for American Indians and Alaskan Natives. Due to the breadth of the changes proposed in H.R. 3962, some provisions of Divisions A and C also could affect Medicaid, but these are not Medicaid-specific. The Division B provisions would modify existing law and add new provisions affecting Medicaid eligibility; benefits; financing; waste, fraud, and abuse; payments to territories; demonstrations and pilot programs; and other miscellaneous Medicaid components. A major provision in Division B would expand Medicaid eligibility for traditional and non-traditional beneficiary categories up to 150% of the federal poverty level. The federal government would fully finance the costs for certain of these expanded beneficiary categories for periods before 2015, decreasing to 91% beginning in 2015. With respect to benefits, Medicaid programs would be required to cover preventive services, and would be allowed to cover nurse home visitation and birthing center services. There are a number of financing changes that would affect Medicaid under H.R. 3962, including reducing Medicaid disproportionate share hospital (DSH) payments by $10 billion by FY2019, increasing prescription drug rebates, and raising provider payments for certain primary care services. Additional waste, fraud, and abuse provisions affecting Medicaid and the Children's Health Insurance Program (CHIP) include requirements to deny payment for health care acquired conditions, require new Medicaid Integrity Program evaluations and reports, and require states to implement a national correct coding initiative, similar to the Medicare program. Under H.R. 3962, spending caps for the territories would be increased, and a series of demonstrations would be approved, including a medical home program, an accountable care organization program, and a program for stabilization of emergency medical conditions by mental disease institutions. [ABSTRACT FROM AUTHOR]

The Balanced Budget Act of 1997 (BBA97, P.L. 105-33) created the State Children?s HealthInsurance Program (SCHIP) and appropriated nearly $40 billion over the 10-year period FY1998to FY2007. The Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA, P.L. 110-173)appropriated more than $10 billion to ensure no state?s SCHIP program runs out of federal SCHIPfunds before March 31, 2009. Without legislative action, three sources of federal SCHIP fundswill no longer be available after March 2009: (1) states? FY2008 federal SCHIP allotments; (2)states? FY2009 federal SCHIP allotments; and (3) up to $275 million for eliminating FY2009shortfalls through March 31, 2009. Only the handful of states with unspent FY2007 federalSCHIP balances could continue to draw federal SCHIP funds. Thus, under current law, 43 statesare projected to have no federal SCHIP funds on April 1, 2009. If the availability of the FY2008and FY2009 allotments was extended through the end of FY2009, shortfalls of federal SCHIPfunds would still total approximately $1.9 billion in 27 states, though this could be mitigated insome states by the ability to access Medicaid funding, albeit at a reduced matching rate comparedto SCHIP. [ABSTRACT FROM AUTHOR]

The article discusses legislative proposals in relation to the budget for the State Children's Health Insurance Program (CHIP) in the U.S. Topics discussed include the extension of federal funding for CHIP until fiscal year 2019, the extension of child enrollment contingency fund, and the extension of performance bonus payments.

The article offers information on the improvement of South Dakota in relation to children's health, economic well-being, and education. It mentions that the state improved in three indicators in the Health Domain which include teens who abuse alcohol, children without health insurance, and child and teen deaths. A chart is presented depicting the 2016 children count profile in South Dakota.

An introduction to a report which summarizes provisions of the U.S. House Resolution (H.R.) 2 Medicare Access and Children's Health Insurance Program (CHIP) Reauthorization Act (MACRA) of 2015 is presented.