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The Children’s Health Insurance Program: Why CHIP is Still the Best Deal for Kids

April 18, 2018

CHIP covers those who earn too much to qualify for Medicaid but not enough to be able to purchase health insurance coverage on their own. CHIP's supporters recognized the value of investing in children's coverage to make sure that all children have access to the medical care they need to grow up to become healthy and productive adults.CHIP has a long history of bipartisan support from lawmakers on both sides of the aisle who recognize that providing health coverage for our nation's children is a critical investment in America and its future. If funding for CHIP is not extended beyond FY 2017, the remarkable trend toward universal coverage for children would most certainly be reversed and significant numbers of children would become uninsured.

What Is the "CHIP Cliff" and How Can Congress Fix It?

January 29, 2018

On January 22, 2018, Congress included a six-year extension of the Children's Health Insurance Program (CHIP) as part of a continuing resolution (CR) to keep the federal government funded on a temporary basis. Funding for CHIP had expired 114 days before, at the close of September 2017. States were continuing to operate their programs with unspent funding from FY 2016 and FY 2017 and a $2.85 billion appropriation from Congress in the CR passed in late December.However, by this past week, states were rapidly running out of any funding. A report by Georgetown's Center for Children and Families had estimated, "If Congress fails to approve long-term funding for CHIP in January, nearly 1.7 million children in separate CHIP programs in 21 states with shortfalls in March 2018 could lose coverage by the end of February 2018."The latest CR is critically important in providing the funding necessary for the next six years to protect the health and well-being of the 9 million children and pregnant women who rely on CHIP for their health coverage, but leaves in place concerns among advocates and states about the long term fiscal health of the program, due to what advocates refer to as a "CHIP cliff."

Rural Children Increasingly Rely on Medicaid and State Child Health Insurance Programs for Health Insurance

September 11, 2014

A new analysis for First Focus by Bill O'Hare shows that children in rural communities are more likely than their urban counterparts to get health care through the Children's Health Insurance Program (CHIP) and Medicaid. With federal funding for CHIP scheduled to end next year, this report illustrates the importance of extending CHIP funding for children in rural America.

Falling Through the Cracks: The Impact of Immigration Enforcement on Children Caught Up in the Child Welfare System

December 1, 2012

This paper outlines the unique challenges that federal and state immigration enforcement measures pose to child well-being and family unity, including the implications for children and families involved in the child welfare system.

Families on the Front Lines: How Immigration Advocates Can Build a Bridge Between the Immigration and Child Welfare Systems

September 27, 2012

Whether acknowledged or not, the family unit must also stand front and center in any examination of the human impact of current immigration enforcement initiatives. Mixed-legal status families are extremely common in the United States. It is conservatively estimated that approximately 5.5 million children, most of whom are U.S. Citizens, are living with at least one undocumented parent who is at risk of apprehension by Immigration & Customs Enforcement, or ICE, the enforcement division of the Department of Homeland Security.As immigration enforcement continues to intensify -- with over 400,000 immigrants estimated to be deported in fiscal year 2012 - the axiom of "family separation" plays out in its most literal sense when parents are forcibly separated both physically and legally from their U.S. Citizen children, sometimes permanently.

How Human Services Programs and Their Clients Can Benefit From National Health Reform Legislation

October 31, 2011

Explains how information technology investments for Medicaid expansion also will enable state agencies to share information that expedites eligibility determination for other needs-based benefits, increases access to supports, and facilitates enrollment.

Medicaid Works: A Review of How Public Insurance Protects the Health and Finances of Children and Other Vulnerable Populations

June 21, 2011

Examines the extent to which Medicaid and Children's Health Insurance Programs have secured and protected children's and adults' coverage, health, and family finances, while improving access to care and medications. Considers the impact of budget cuts.

The Impact of Immigration Enforcement on Child Welfare

March 1, 2010

While children of immigrants have a lot at stake in the discussions surrounding U.S. immigration policy, their interests remain largely ignored in the debate. For instance, little consideration is given to the impact of immigration enforcement on the 5.5 million children, the vast majority of whom are native-born U.S. citizens, living with at least one undocumented parent.Similarly overlooked are the significant challenges experienced by public child welfare agencies that encounter children separated from their parents due to immigration enforcement measures.The U.S. child welfare system is based on the notion of ensuring the safety and best interest of the child; however, this principle is often compromised in the face of conflicting federal immigration policies and practices. This policy brief examines the intersection of immigration enforcement and child welfare and the difficulties facing immigrant families caught between the two systems. Recommendations are provided to prioritize keeping children with their families and out of the public child welfare system whenever possible and to ensure that separated children who do encounter the child welfare system receive appropriate care and parents receive due process.

Covering Children at the Top of Public Priorities for Health Reform

February 18, 2010

Presents survey results on public support for ten health reform provisions, including mandated children's coverage, funding to states to create insurance exchanges, expansion of Medicaid to childless adults, payment reforms, and insurance market reforms.

Big Ideas for Children: Investing in Our Nation's Future

September 8, 2008

Compiles papers by experts in economics and children's public policy on policy proposals for investing in early childhood and education programs, reforming the healthcare system for children, and improving children's safety, well-being, and environments.

Children's Budget 2008

April 15, 2008

Examines trends in mandatory and discretionary federal spending on children by tracking funding from fiscal year 2004 through 2009 for specific programs in child welfare, education, health, housing, income support, nutrition, safety, and training.