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
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 […]
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 […]