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) 2023, 8.9 million children received CHIP-funded coverage. Spending in states and territories for FY 2023 totaled $22.3 billion ($17.3 billion federal, $6 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
March 2026 Report to Congress on Medicaid and CHIP
March 12, 2026
MACPAC’s March 2026 Report to Congress on Medicaid and CHIP contains four chapters of interest to Congress: (1) a recommendation to help promote the home- and community-based services (HCBS) workforce, (2) behavioral health in Medicaid and the State Children’s Health Insurance Program (CHIP), (3) Medicaid for justice-involved youth, and (4) Medicaid for children in foster care.
Chapter 1 makes […]
Children and Youth with Special Health Care Needs (CYSHCN) Transitions to Adult Coverage: Draft Recommendations
March 5, 2026
MACPAC staff presented six draft policy recommendations to address challenges related to CYSHCN transitions of coverage. The draft recommendations reflect the Commission’s feedback from the January 2026 meeting. The draft recommendations include directing the Centers for Medicare & Medicaid Services (CMS) to require states to send advance notice to CYSHCN aging out of child eligibility; […]
Children and Youth with Special Health Care Needs (CYSHCN) Transitions to Adult Coverage: T-MSIS & Interview Findings
December 11, 2025
As part of MACPAC’s work on CYSHCN, staff examined their transitions from child to adult Medicaid eligibility. Additionally, this work focused on how this transition may overlap with other age-related transitions, including the age-18 Supplemental Security Income (SSI) redetermination and the transition between child-only and adult Section 1915(c) home- and community-based services (HCBS) waivers.
Staff presented […]