Children’s Coverage under CHIP and Exchange Plans

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March 2014

The scheduled sunset of the State Children’s Health Insurance Program (CHIP) appropriation in 2015 raises questions about what a reasonable level of contribution on the part of a child’s family is without becoming a financial obstacle that impedes access to and use of appropriate care. This presents an opportunity for policymakers to consider a long-term vision, not just for CHIP, but also for coverage of lower-income children more broadly.

Chapter 5 of MACPAC’s March 2014 report offers two short-term recommendations to Congress–ending waiting periods for children in CHIP, and eliminating CHIP premiums for families below 150 percent of the federal poverty level–that support a long-term vision for continuity of coverage, benefit design, financing, and network adequacy for children’s coverage overall. Read more about MACPAC’s rationale for these recommendations and its long-term vision for children’s coverage.

Publication Type: Reports to Congress

From: March 2014 Report to the Congress on Medicaid and CHIP

Tags: Affordable Care Act, benefits, children, CHIP, CHIP funding allotment, exchanges, family or kid glitch, Medicaid expansion CHIP, network adequacy, pregnant women, premium stacking, premiums, Separate CHIP, stairstep children, unborn children, waiting periods