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Children’s Health Coverage: What You Need To Know

Monday, July 14, 2014


Approximately 8 million children with low to moderate incomes are covered under the Children’s Health Insurance Program (CHIP) and 39 million children are covered under Medicaid. (Most children who have coverage have private coverage). The number of uninsured children has decreased by half since the enactment of CHIP in 1997; however, with a new coverage landscape and CHIP funding set to expire in October 2015, questions arise about the current state and future of children’s health care coverage.

What is CHIP and why was it created? What has been the experience with children’s coverage through CHIP and Medicaid? What are some of the key policy and financing questions around children’s health coverage looking forward?

Robin Rudowitz, associate director for the Kaiser Commission on Medicaid and the Uninsured, provided an overview of the CHIP program.

Joan Alker, executive director at the Center for Children and Families and research associate professor at Georgetown University, highlighted some of the key state and federal policy questions around children’s health coverage.

Robert Stewart, analyst at the Congressional Budget Office, described the mechanics of CHIP financing.

Cathy Caldwell, director of the Bureau of Children’s Health Insurance in the Alabama Department of Public Health, provided an on-the-ground perspective of the role CHIP has played in her state.

Ed Howard of the Alliance and Diane Rowland of Kaiser moderated.

Contact: Beeta Rasouli (202)789-2300

Follow the briefing on Twitter: #kidscoverage

The event was sponsored by the nonpartisan Alliance for Health Reform and the Kaiser Family Foundation.

Transcript, Event Summary and/or Webcast and Podcast

Transcript: Transcript (Adobe Acrobat PDF), 7/15/2014
Full Webcast/Podcast: Full Video

Speaker Presentations

Rudowitz Presentation (Adobe Acrobat PDF), 7/14/2014
Alker Presentation (Adobe Acrobat PDF), 7/14/2014
Stewart Presentation (Adobe Acrobat PDF), 7/14/2014
Caldwell Presentation (Adobe Acrobat PDF), 7/14/2014

(If you want to download one or more slides from these presentations, contact us at info@allhealth or click here for instructions.)

Source Materials

Agenda (Adobe Acrobat PDF), , 7/14/2014
Speaker Biographies (Adobe Acrobat PDF), , 7/14/2014
Materials List (Adobe Acrobat PDF), , 7/14/2014
Selected Experts (Adobe Acrobat PDF), , 7/14/2014

Offsite Materials (briefing documents saved on other websites)

Covering Health Issues: A Sourcebook for Journalists Fall 2013, Chapter 9 – Medicaid and CHIP., AHR, 3/19/2014
Children's Health Insurance Program (CHIP): Accomplishments, Challenges and Policy Recommendations, American Academy of Pediatrics, 1/27/2014
CHIP Enrollment Snapshot: December 2013., The Henry J. Kaiser Family Foundation, 6/3/2014
CHIP Program Name and Type., The Henry J. Kaiser Family Foundation, 1/14/2013
Detail of Spending and Enrollment for the Children’s Health Insurance Program for CBO’s April 2014 Baseline, CBO, 4/14/2014
Dismantling CHIP in Arizona: How Losing KidsCare Impacts a Child’s Health Care Costs, Georgetown University Center for Children and Families, 5/8/2014
The Effect of Child Health Insurance Access on Schooling: Evidence from Public Insurance Expansions, , 5/1/2014
For Kids’ Sake: State-Level Trends in Children’s Health Insurance, State Health Access Data Assistance Center, 3/10/2014
Health Care Reform and Children: Planning and Design Considerations for Policymakers, National Academy for State Health Policy, 6/1/2014
Keeping Coverage Affordable Addressing CHIP ‘Premium Stacking., Families USA, 4/1/2013
Medicaid Enrollment: An Overview of the CMS April 2014 Data Update, The Henry J. Kaiser Family Foundation, 6/10/2014
Report to the Congress on Medicaid and CHIP – Chapters 1 & 5, MACPAC, 3/1/2014
Report to the Congress on Medicaid and CHIP – Chapter 4, MACPAC, 6/13/2014
Uninsured Children 2009-2011: Charting the Nation, Georgetown University Center for Children and Families, 10/23/2012
Where are States Today? Medicaid and CHIP Eligibility Levels for Children and Non-Disabled Adults as of April 1, 2014, The Henry J. Kaiser Family Foundation, 6/11/2014
Aligning Eligibility for Children: Moving the Stairstep Kids to Medicaid., The Henry J. Kaiser Family Foundation, 8/15/2013
A Look at CBO projections for Medicaid and CHIP., The Henry J. Kaiser Family Foundation, 6/1/2014
Benefits and Cost Sharing in Separate CHIP Programs, Georgetown University Center for Children and Families, 5/1/2014
Children’s Health Coverage: Medicaid, CHIP and the ACA, The Henry J. Kaiser Family Foundation, 3/26/2014
Children’s Hospitals Call for an Extension of CHIP, Insurance News Network, 6/12/2014
CHIP Extension and How the ACA Fails Families, American Action Forum, 6/24/2014
CHIP Financing Basics #1 – Federal CHIP Funding Structure, Georgetown University Center for Children and Families, 5/22/2014
CHIP Financing Basics #2 – Where the CHIP(s) Fall on State Program Design, Georgetown University Center for Children and Families, 6/6/2014
Expiring Medicaid and CHIP Provisions Should Be Extended in End-of-Year Legislation, Center on Budget and Policy Priorities, 1/8/2014
How Children’s Health Coverage is Changing, in Seven Charts, The Washington Post, 4/11/2014
Report to the Congress on Medicaid and CHIP – Chapter 1., MACPAC, 6/13/2014
State by State Data on the Children's Health Insurance Program, NASHP, 7/15/2014
The Impact of the Children’s Health Insurance Program (CHIP): What Does the Research Tell Us? , The Henry J. Kaiser Family Foundation, 7/17/2014


For most children, coverage through CHIP is significantly more affordable than through marketplace plans, Joan Alker, executive director at the Center for Children and Families and research associate professor at Georgetown University, stated at a July 14 Alliance briefing, Children’s Health Coverage: What You Need To Know.


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