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CHIP

The State Children’s Health Insurance Program (CHIP) is a joint federal-state program established to provide coverage to uninsured children in families whose incomes are too high to qualify for Medicaid. In fiscal year (FY) 2022, 8.3 million children received CHIP-funded coverage. Spending in states and territories for FY 2022 totaled $22.3 billion ($16.9 billion federal, $5.4 billion state). Under current law, CHIP allotments are provided through FY 2029. Learn more about CHIP and MACPAC’s analysis of its future.

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Featured Publications

June 2025 Report to Congress on Medicaid and CHIP

June 10, 2025

MACPAC’s June 2025 Report to Congress on Medicaid and CHIP contains five chapters of interest to Congress:
Chapter 1  makes recommendations on transitions from pediatric to adult care for Medicaid-covered children and youth with special health care needs (CYSHCN).
Chapter 2 focuses on appropriate access to residential behavioral health treatment services for children.
Chapter 3 describes findings from the Commission’s […]

School-based Health Centers and Behavioral Health Care for Students Enrolled in Medicaid

March 27, 2025

Schools are a convenient point of access for children and adolescents with Medicaid coverage to receive health services. School-based health centers (SBHCs) are an important source of primary care and behavioral health care for students, particularly as communities seek to address an increase in behavioral health challenges among young people. This issue brief examines how […]

Appropriate Access to Residential Services for Children and Youth with Behavioral Health Needs: Interview Findings

February 27, 2025

During this session, staff shared findings from interviews with state and federal officials, national experts, advocates, and providers about appropriate access to residential treatment services for beneficiaries who need them. Key themes that emerged from interviews related to data collection and sharing, admission and discharge processes, coverage and payment levers, and provider capacity.