Children's Health Insurance Program

1738:. The measure would have expanded coverage to over 4 million more participants by 2012, while phasing out most state expansions in the program that include any adults other than pregnant women. The bill called for a budget increase for five years totaling $ 35 billion, increasing total CHIP spending to $ 60 billion for the five-year period. Opposition to HR 976 focused on the $ 35 billion increase in government health insurance as well as $ 6.5 billion in Medicaid benefits to illegal immigrants. Originally intended to provide health care coverage to low-income children, HR 976 was criticized as a giveaway that would have benefited adults as well as non-U.S. citizens. The program expansion was to have been funded by sharply increasing federal excise taxes on tobacco products. On the other hand, opponents said this proposed expansion was for families with annual incomes up to $ 82,600 (400 percent of the federal poverty level) 1535:, with the stated goal of coverage up to five million children. Kennedy continued to write much of the bill, using the increase in tobacco taxes to pay the $ 20 billion price tag. In March 1997, Kennedy brought Republican Senator Orrin Hatch onto the legislation as co-sponsor; Kennedy and Hatch had worked together as an "odd couple" in the Senate before, and here Hatch said that "Children are being terribly hurt and perhaps scarred for the rest of their lives" and that "as a nation, as a society, we have a moral responsibility" to provide coverage. Hatch's role would infuriate some Republican colleagues and 1088: 4293: 1490: 1792: 1630:, CHIP funds are used to expand eligibility for the state's Medicaid program. Thus all Medicaid rules and regulations (including cost sharing and benefits) apply. Children from birth through age 18 who live in families with incomes above the Medicaid thresholds in 1996 and up to 200% of the federal poverty level are eligible for the CHIP Medicaid expansion program. In 2008, the maximum annual income needed for a family of four to fall within 100% of the federal poverty guidelines was $ 21,200, while 200% of the poverty guidelines was $ 42,400. 1762:, created firmer caps on income eligibility, prevented adults from joining, and banned children of illegal immigrants from receiving benefits. According to its opponents, however, this second proposed expansion was for families with annual incomes up to $ 62,000 (300 percent of the federal poverty level). The Senate passed the measure on November 1, 2007, but on December 12, 2007, Bush vetoed this bill as well, saying it was "essentially identical" to the earlier legislation, and a House vote in January 2008 failed to override the veto. 513:, who was elected chair following Rep. Pepper's death, emphasized his commitment to pursue legislative action not only on the commission's full set of recommendations but also on a "down payment"—to expand public health coverage immediately for children and pregnant women, consistent with the principles the commission put forward. The legislation would guarantee public insurance coverage through Medicaid for every American child living in poverty and offset the cost of the improvements by doubling the federal excise tax on cigarettes. 1595:. H.R. 2015 was introduced and sponsored by Rep John Kasich with no cosponsors. On 25 June 1997, H.R. 2015 passed House Vote Roll #241 mainly among partisan lines, 270 ayes and 162 nays, with most Democrats in the House of Representatives in opposition. On the same day, the bill passed in the Senate, with a substitute amendment, by unanimous consent. After a conference between the House and Senate, passage in both House (Roll #345: 346–85) and Senate (Roll #209: 85–15) on the conference substitute became more bipartisan. 1484: 1140: 1081: 124:. States are given flexibility in designing their CHIP policies within broad federal guidelines, resulting in variations regarding eligibility, benefits, and administration across different states. Many states contract with private companies to administer some portions of their CHIP benefits. Some states have received authority to use CHIP funds to cover certain adults, including pregnant women and parents of children receiving benefits from both CHIP and Medicaid. 1094: 1910: 1543:

those needed to pay for the expansion of benefits. Kennedy and Hatch scoffed at the objection, with the former saying, "If we can keep people healthy and stop them from dying, I think most Americans would say 'Amen; isn't that a great result?' If fewer people smoke, states will save far more in lower health costs than they will lose in revenues from the cigarette tax." Republicans also criticized the bill as an open-ended

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employ a great deal of flexibility in eligibility and enrollment matters. The limits to this flexibility are described in the regulations, and states must describe their program characteristics in their CHIP state plans. Out of 50 state governors, 43 support CHIP renewal. Some states have incorporated the use of private companies to administer portions of their CHIP benefits. These programs, typically referred to as

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a pack of cigarettes to $ 1.01—an increase of tax on chewing tobacco from $ 0.195/lb. to $ 0.50/lb.—as well as tax increases on other tobacco products was proposed as a funding source for the program's expansion. On January 29, the Senate passed the House bill by a 66–32 margin, with two amendments. The House accepted the amended version on a vote of 290 to 135, and President Obama signed the bill into law as

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billion over 5 years by raising the tobacco tax with $ 20 billion going to expanded coverage for children under a block grant approach and $ 10 billion for deficit reduction. S. 525 was referred to the Senate Health Education Labor and Pensions (HELP) Committee. Hearings were held on the bill in the HELP Committee but legislation to expand coverage for children was never acted on in the HELP Committee.

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Clinton administration: a different variant of this approach, dubbed "Kids First", had been envisioned as a backup plan during the original 1993 Task Force on National Health Care Reform meetings. Additionally, Hillary Clinton had discussed an SCHIP-like program with a White House health policy coordinator during the time her full-blown health care plan had suffered political failure.

1872: 1607:. States may design their CHIP programs as an independent program separate from Medicaid (separate child health programs), use CHIP funds to expand their Medicaid program (CHIP Medicaid expansion programs), or combine these approaches (CHIP combination programs). States receive enhanced federal funds for their CHIP programs at a rate above the regular Medicaid match. 596: 1703:, researchers determined that "for every 100 children who gain coverage as a result of CHIP, there is a corresponding reduction in private coverage of between 25 and 50 children." The CBO speculates this is because the state programs offer better benefits at lower cost to enrollees than the private alternatives. A briefing paper by libertarian think-tank 1938: 2150: 105:. Despite opposition from some conservatives, SCHIP was included in the Balanced Budget Act of 1997, which President Clinton signed into law in August 1997. At the time of its creation, SCHIP represented the largest expansion of taxpayer-funded health insurance coverage for children in the U.S. since the establishment of 1642:

that 9 out the 17 states that offer benefits to higher-earning families were already compliant. Opponents of this rule argued that signing up higher-income families makes lower-income families more likely to sign up, and that the rule was incompassionate toward children who would otherwise go without medical insurance.

1623:, allow private insurance companies or health maintenance organizations to contract directly with a state Medicaid department at a fixed price per enrollee. The health plans then enroll eligible individuals into their programs and become responsible for assuring CHIP benefits are delivered to eligible beneficiaries. 1720:

vetoed them as improper expansions. A two-year reauthorization bill was signed into law by the President in December 2007 that would merely extend current CHIP services without expanding any portion of the program. With the 2008 Presidential and Congressional elections giving Democrats control of the

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Children up to the age of 19 from families with incomes too high for Medicaid but below 200% to 300% of the federal poverty level (FPL) are typically eligible for CHIP. The exact income requirements can vary from state to state. Additionally, a child must be a U.S. citizen, a U.S. national, or have a

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Pressure was on to reduce the amount of grants involved, with $ 16 billion a possible compromise; Hillary Clinton instead argued for $ 24 billion. The Clinton administration had a deal with the Republican leadership in Congress that forbade the administration from backing any amendments to the budget

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An initial objection of Republicans in the Senate was that proposing to pay for the services by raising the federal tax on cigarettes, from 24 cents a pack to 67 cents a pack, ignored the likely consequence that sale of tobacco products would decrease and tax revenues would increasingly fall short of

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on a vote of 290–138. The bill authorized spending and added $ 32.8 billion to expand the health coverage program to include about 4 million more children, including coverage of legal immigrants with no waiting period for the first time. A cigarette tax increase of 62 cents—bringing the total tax on

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vetoed the bill, stating that he believed it would "federalize health care", expanding the scope of CHIP much farther than its original intent. The veto was the fourth of his administration. After his veto, Bush said he was open to a compromise that would entail more than the $ 5 billion originally

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In August 2007, the Bush Administration announced a rule requiring states (as of August 2008) to sign up 95% of families with children earning 200% of the federal poverty level, before using the funds to serve families earning more than 250% of the federal poverty level. The federal government said

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The 1996 Bipartisan Budget Agreement made net reductions in federal Medicaid spending over a five-year period but anticipated an additional $ 16 billion in spending on children's health care over the same period. However, it did not provide details on how that money would be spent. In 1997, several

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CHIP covered 7.6 million children during federal fiscal year 2010, and every state has an approved plan. Nonetheless, the number of uninsured children continued to rise after 1997, particularly among families that did not qualify for CHIP. An October 2007 study by the Vimo Research Group found that

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States are allowed to use Medicaid and CHIP funds for premium assistance programs that help eligible individuals purchase private health insurance. As of 2008 relatively few states had premium assistance programs, and enrollment was relatively low. Interest in this approach remained high, however.

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States with separate child health programs follow the regulations described in Section 42 of the Code of Federal Regulations, Section 457. Separate child health programs have much more flexibility than Medicaid programs. Separate programs can impose cost sharing, tailor their benefit packages, and

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Kennedy did not give up on the measure, saying: "We shall offer it again and again until we prevail. It's more important to protect children than to protect the tobacco industry." Both Bill and Hillary Clinton argued for including the children's health insurance in subsequent legislation. The bill

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Meanwhile, in December 1996 First Lady Hillary Rodham Clinton examined several possible initiatives and decided expanding health care insurance to children who had none was the one to advance, especially as its focus on children would be politically popular. This had precedents from earlier in the

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continued to argue for expanded coverage for children. He referenced an amendment for accelerated coverage children and pregnant women offered during the Senate Finance Committee's health care reform markup that was adopted by a bipartisan majority of 12 to 8 as evidence that there was bipartisan

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assembled a task force to write a comprehensive health reform bill, and he worked with Congress to introduce the Health Security Act (HSA) in November 1993. It included provisions such as universal coverage and a basic benefit package, health insurance reform, and consumer choice of health plans.

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onto the legislation as a co-sponsor. Kennedy and Hatch had worked together as an "odd couple" in the Senate before, and here Hatch said that "Children are being terribly hurt and perhaps scarred for the rest of their lives" and that "as a nation, as a society, we have a moral responsibility" to

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or higher as more employers dropped dependents or dropped coverage altogether due to annual premiums nearly doubling between 2000 and 2006. A 2007 study from researchers at Brigham Young University and Arizona State found that children who drop out of CHIP cost their states more money due to the

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On January 22, 2018, President Trump signed legislation that reauthorized CHIP for six years. Bill H.195 (known as the Federal Register Printing Savings Act of 2017, including Extension of Continuing Appropriations Act, 2018) passed the House by a vote of 266-150 and passed the Senate a vote of

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On April 8, 1997, Senators Kennedy and Hatch introduced S. 525, the "Child Health Insurance and Lower Deficit Act (CHILD). This legislation amended the Public Health Service Act to create a new grant program for states to purchase private health insurance for children. It proposed to raise $ 30

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guidelines. CHIP Medicaid expansion programs typically use the same names for the expansion and Medicaid programs. Separate child health programs typically have different names for their programs. A few states also call the CHIP program by the term "Children's Health Insurance Program" (CHIP).

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was formed in 1989 and charged with recommending "legislative action to ensure coverage for all Americans." The commission, renamed the Pepper Commission in honor of its creator and first chair Representative Claude Pepper (D-Fla.), laid out a blueprint to achieve universal coverage. Given the

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Other states have similar CHIP guidelines, with some states being more generous or restrictive in the number of children they allow into the program. With the exception of Alaska, Idaho, North Dakota and Oklahoma, all states have a minimum threshold for coverage at 200% of the federal poverty

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By February 1999, 47 states had set up CHIP programs, but it took effort to get children enrolled. That month, the Clinton administration launched the "Insure Kids Now" campaign, designed to get more children enrolled; the campaign would fall under the aegis of the

4693: 1898:, which reauthorized CHIP for an additional four years. The bill was passed by vote of 71–28 in the Senate and by a vote of 240–186 in the House of Representatives. President Trump signed the bill into law that same day, allowing for CHIP's extension through 2027. 1410: 576:(D-WVa.) introduced S. 674, a bill to amend title XIX of the Social Security Act "to expand health coverage of low income children and pregnant women and to provide funds to promote outreach efforts to enroll eligible children." On the same day, Representative 4243: 1875: 1293: 1695:

situations. The conclusion of the study is that an attempt to cut the costs of a state healthcare program could create a false savings because other government organizations pick up the tab for the children who lose insurance coverage and later need care.

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increased use of emergency care. A 2018 survey of the existing research noted that the availability of "CHIP coverage for children has led to improvements in access to health care and to improvements in health over both the short-run and the long-run."

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SCHIP was created in 1997 as a ten-year program; to continue past federal fiscal year 2007, passage of a reauthorization bill was required. The first two reauthorization bills to pass through Congress would also expand the program's scope; President

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resolution. On May 22, it was so done, with the necessary cigarette tax amendment defeated by a 55–45 margin. but Kennedy was surprised and angered by it, considering it a betrayal, and saying that his calls to Bill Clinton and Vice President

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introduced the Keeping Kids' Insurance Dependable and Secure (KIDS) Act (Bill S.1827), which would fund CHIP until 2022. On November 3, 2017, the House of Representatives passed the CHAMPION Act, which also would fund CHIP until 2022.

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support to provide assistance to children. He also went on to say expanding coverage for children was essential to reforming the welfare system to "prevent families from having to go and off welfare to qualify for Medicaid."

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81–18. Fifteen Senate Democrats and 144 House Democrats voted against the bill because they objected to ending a three-day government shutdown without legally enshrining the DACA program for certain undocumented immigrants.

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On October 18, 2007, the House of Representatives fell 13 votes short (273–156) of the two-thirds majority required to override the president's veto, although 44 Republicans joined 229 Democrats in supporting the measure.

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lobbied for its passage, putting public pressure on Congress; Kennedy urged Clinton to use her influence within the White House. SCHIP was then passed and signed into law by Bill Clinton on August 5, 1997, as part of the

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A 2018 survey of the existing research noted that the availability of "CHIP coverage for children has led to improvements in access to health care and to improvements in health over both the short-run and the long-run."

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as a way to pay for the expanded coverage. Thus, in October 1996, Kennedy introduced a bill to provide health care coverage for children of the working poor, to be financed via a 75 cents a pack cigarette tax increase.

3596: 4273: 1803:'s inauguration and the Democrats' increased majorities in both houses of Congress, legislative leaders moved quickly to break the political stalemate over CHIP expansion. On January 14, 2009, the House passed 357: 1093: 4647: 1346: 2372: 4333: 1254: 1184: 345: 816: 2390: 1588:, Bill Clinton, and Hillary Clinton. About the last, Kennedy said, "Mrs. Clinton ... was of invaluable help, both in the fashioning and the shaping of the program and also as a clear advocate." 533:

members of Congress introduced bills to cover uninsured children using that $ 16 billion, and the two most popular proposals were the Chafee-Rockefeller proposal and the Kennedy-Hatch proposal.

540:, Chairman of the Senate Committee on Health, Education, Labor, and Pensions (HELP) was intrigued by a children's health insurance plan in Massachusetts that had passed in 1996, and met with a 4717: 1385: 3289: 1874: 487: 821: 4179: 2763: 673: 4416: 2032: 1465: 4759: 4712: 4652: 3818: 2739:"President Clinton and First Lady Hillary Rodham Clinton Launch the [Insure Kids Now Campaign]http://www.insurekidsnow.gov Promoting Children's Health Insurance Outreach" 1445: 932: 524:

After the HSA failed in the fall of 1994, congressional leaders and the administration recognized the need for an incremental, bipartisan approach to health care reform. Senator

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in 1965. The Children's Health Insurance Reauthorization Act of 2009 extended CHIP and expanded the program to cover an additional 4 million children and pregnant women, and the

55: 1845: 1659: 4462: 3604: 1430: 3517: 339: 4411: 3536: 1460: 4932: 4642: 910: 663: 4942: 4238: 4187: 1288: 942: 89:. First Lady Hillary Clinton's brainchild in the aftermath of the failing of passage of her healthcare reform work, this Legislation to create CHIP was co-sponsored by 4911: 2738: 1603:

Like Medicaid, CHIP is a partnership between federal and state governments. The programs are run by the individual states according to requirements set by the federal

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had not been returned. Hatch was also upset, saying that Lott may have been bluffing and that, "I think the President and the people in the White House caved here."

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Within a week of the failed veto override vote, the House passed a second bill attempting a similar expansion of CHIP. According to Democrats, the second bill,

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Oval Office as well as expanded majorities in both houses of Congress, CHIP was reauthorized and expanded in the same bill through fiscal year 2013.

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to families with children. The program was designed to cover uninsured children in families with incomes that are modest but too high to qualify for

4667: 2788: 1615:. By April 1999, some 1 million children had been enrolled, and the Clinton administration set a goal of raising the figure to 2.5 million by 2000. 1380: 1068: 1041: 4734: 4049: 3992: 1375: 1063: 1048: 1036: 1021: 809: 767: 760: 633: 256: 4487: 4218: 4115: 1168: 581: 325: 3837: 3045: 4952: 4947: 4348: 2767: 2529: 1961: 1239: 1004: 886: 834: 505: 269: 110: 2471: 2320: 2278: 4600: 3982: 1951: 1507: 1173: 738: 733: 728: 723: 718: 713: 3699: 2627: 4722: 4657: 4312: 1652: 1370: 1341: 1265: 1058: 1031: 952: 782: 4492: 4064: 2764:"First Lady Hillary Rodham Clinton Announces That Almost One Million Children Are Enrolled in the Children's Health Insurance Program" 1856:

CHIP expired on September 30, 2017. At the time, most states had sufficient funds to keep the program running for a period of months.

777: 3252: 4359: 4353: 4263: 3972: 2664: 1791: 1313: 1244: 1214: 1111: 891: 708: 3046:"Political posturing obscures the issue Insuring health care for poor children should be highest priority as Congress votes By Rep" 2091: 3411: 2352: 4539: 4338: 4190: 3561: 1580:, to take effect the following month. At a press conference following the signing, Kennedy thanked Hatch, Senate Minority Leader 1489: 1189: 915: 392: 98: 90: 86: 4769: 4764: 4513: 4406: 4210: 3932: 3923: 3492: 1500: 1475: 1455: 1450: 876: 839: 683: 304: 298: 292: 147: 136:

Fact remains that SCHIP covered millions of low income children who otherwise would not have had healthcare access since 1997.

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found that children who drop out of CHIP cost states more money because they shift away from routine care to more frequent

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Plaut, TF; Arons, BS (September 1994). "President Clinton's proposal for health care reform: key provisions and issues".

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budgeted, but would not agree to any proposal drastically expanding the number of children eligible for coverage.

4120: 3727: 1780:, which extended CHIP funding through March 31, 2009, and the President signed it into law on December 21, 2007. 232: 4774: 4563: 4144: 4110: 4023: 2859: 2446: 1688: 1684: 851: 430: 179: 4862: 4850: 4579: 2187:"THE HEALTH CARE DEBATE: IN THEIR OWN WORDS; Why Health Care Fizzled: Too Little Time and Too Much Politics" 972: 651: 4531: 4436: 3956: 3386: 1777: 1572: 1234: 977: 829: 244: 187: 561:

provide coverage. Hatch's role would infuriate some Republican colleagues and conservative commentators.

4856: 4547: 4497: 4002: 3518:"BREAKING: President Obama Signs SGR Repeal Legislation, Shifting Medicare Physician Payment Incentives" 1821: 1742: 1620: 1585: 1536: 1390: 846: 541: 435: 167: 1139: 3337: 4739: 1915: 1298: 859: 312: 1483: 4805: 4059: 4054: 3916: 3845: 3049: 2476: 1544: 1080: 75: 17: 3096: 2539: 1774: 4886: 4523: 4457: 2951: 2872: 2632: 2357: 2330: 1567:

was indeed revived by Kennedy and Hatch a month after its initial defeat. Organizations from the

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was an early opponent of the measure, calling it a "big-government program" that would not pass.

1539:. The First Lady did not hold news conferences or testify before Congress on behalf of the bill. 1425: 656: 646: 397: 279: 3584: 1818: 1707:

estimated the "crowding out" of private insurers by the public program could be as much as 60%.

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68.7 percent of newly uninsured children were in families whose incomes were 200 percent of the

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Sultz, H., & Young, K. Health Care USA Understanding its Organization and Delivery pg. 257

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to discuss the feasibility of a national initiative. Kennedy also saw using an increase in

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In 2007, both houses of Congress passed a bipartisan measure to expand the CHIP program,

120:; programs are run by the individual states according to requirements set by the federal 3419: 4813: 3997: 3909: 3896: 3000: 2897: 2208:

Rockefeller, John D. (18 January 1995). "Moving Ahead With Health Care System Reform".

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The reauthorization bill also changed the program's name from "SCHIP" to simply "CHIP"

1717: 1704: 1692: 638: 458: 440: 59: 3001:"Sinking SCHIP: A first step toward stopping the growth of government health programs" 1923: 4926: 4426: 2833: 2442: 2221: 2154: 501: 382: 3891: 3822: 2713: 4832: 4791: 4555: 4365: 1956: 1883: 1800: 1209: 610: 577: 517: 445: 286: 82: 3901: 2955: 4874: 4868: 4343: 4095: 3783: 3600: 2660: 2623: 2598: 2134: 2117: 1860: 1581: 1548: 1229: 569: 557: 537: 406: 102: 94: 30: 3752: 3313: 2855: 1905: 1552: 903: 3537:"9 million kids get health insurance under CHIP. Congress just let it expire" 3203: 2813:

Federal Register, Vol. 73, No. 15, January 23, 2008, pp. 3971-3972. Also see

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with Republican cosponsor, Representative Margaret Scafati Roukema (R-NJ).

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Georgetown University Center for Children and Families resources on SCHIP

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The Children's Health Insurance Program grew out of years of work in the

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Health Insurance program for families administered by the United States

3562:"The GOP's Struggles to Re-Authorize CHIP Is a Devastating Indictment" 2409:"Children's Health Insurance Provides Security (CHIPS) Act (H.R 1491)" 3777:

BEN KAMISAR, MELANIE ZANONA AND CRISTINA MARCOS (February 9, 2018).

2564: 4136: 2856:"Choosing Premium Assistance: What Does State Experience Tell Us?" 1870: 1790: 504:

to improve Americans' health coverage. Almost a decade prior, the

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Health Information Technology for Economic and Clinical Health Act

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This article incorporates text from this source, which is in the

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CHIP was formulated in the aftermath of the failure of President

74:, and the statutory authority for CHIP is under title XXI of the 1627: 580:(D-MI) introduced an identical bipartisan companion bill in the 4140: 3905: 2815:"US Department of Health and Human Services Poverty Guidelines" 2026:"FY 2010 Number of Children Ever Enrolled in Medicaid and CHIP" 1852:

2017 expiration and 2018 reauthorization for 6 additional years

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The new initiative was proposed at Bill Clinton's January 1997

3838:"Ohio Medicaid Basics / Understanding Ohio's Medicaid program" 3418:. National Cancer Institute. February 10, 2009. Archived from 3020: 2924:"Impact of Medicaid disenrollment on health care use and cost" 2319:

Karen Tumulty; Michael Duffy; Massimo Calabresi (2008-03-13).

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Medicare Prescription Drug, Improvement, and Modernization Act

3359:"Here's the Deal on SCHIP . . . Er, CHIP | Commonwealth Fund" 3185: 3183: 2628:"Child Insurance Bill Opposed As Threat to Cigarette Revenue" 3694: 3692: 3246: 3244: 116:

CHIP was designed as a federal-state partnership similar to

3275:"Excerpt of President's Radio Address on SCHIP Legislation" 2391:"Children's Health Insurance Provides Security (CHIPS) Act" 2118:"The Pepper Commission Report on Comprehensive Health Care" 1886:

speaks about the need to re-authorize CHIP in January 2018.

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2010 funding via Patient Protection and Affordable Care Act

2321:"Assessing Clinton's "Experience": Children's Health Care" 3728:"Senate passes bill to end shutdown, sending it to House" 2001:"What is CHIP (the Children's Health Insurance Program)?" 4274:

UN Special Representative on Sexual Violence in Conflict

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CHIP at the Centers for Medicare & Medicaid Services

3493:"Primer: The Children's Health Insurance Program (CHIP)" 2665:"Clinton Helps Kill Proposal to Raise Tax on Cigarettes" 3811:"Low Cost Health Insurance for Families & Children" 506:

U.S. Bipartisan Commission on Comprehensive Health Care

3412:"Health Groups Hail Increase in Federal Tobacco Taxes" 2495: 2493: 2373:"S.525 - Child Health Insurance and Lower Deficit Act" 1591:

CHIP is located at Title IV, subtitle J of H.R. 2015

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United States Department of Health and Human Services

3130:

Bush's False Claims About Children's Health Insurance

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JAMA: The Journal of the American Medical Association

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United States Department of Health and Human Services

3599:(Press release). Washington, D.C.: Sen. Orin Hatch. 1846:

Medicare Access and CHIP Reauthorization Act of 2015

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challenges of comprehensive health reform, Governor

4896: 4825: 4783: 4752: 4666: 4631: 4610: 4599: 4506: 4478: 4450: 4399: 4326: 4300: 4229: 4088: 4037: 4011: 3965: 3939: 2873:"Proposal Favoring SCHIP's Poorest Kids Criticized" 1551:rather than an entitlement; Senate Majority Leader 340:

Health Insurance Portability and Accountability Act

34:

Logo of the Department of Health and Human Services

3442:"Senate Passes Health Insurance Bill for Children" 2595:"Orrin Hatch Turns Out To Be A Latter Day Liberal" 1810: 1766: 176:/ State Health Insurance Assistance Program (SHIP) 1660:State Children's Health Insurance Program in Utah 70:. The program was passed into law as part of the 2714:"Balanced Budget Act of 1997 (1997 - H.R. 2015)" 2470:Shailagh Murray; Jonathan Weisman (2008-03-24). 334:Emergency Medical Treatment and Active Labor Act 3338:"President Bush vetoes child health bill again" 3288:Stolberg, Sheryl Gay; Carl Hulse (2007-10-04). 2976:"The State Children's Health Insurance Program" 1848:(MACRA), and it was signed by President Obama. 3387:"Obama Signs Children's Health Insurance Bill" 3380: 3378: 2690:"States to Give More Children Health Coverage" 2502:"Hatch Joins Kennedy to Back a Health Program" 2472:"Both Obama And Clinton Embellish Their Roles" 2353:"Hatch Joins Kennedy to Back a Health Program" 516:Quickly after his election in 1992, President 4180:11th Chancellor of Queen's University Belfast 4152: 3917: 2523: 2521: 2465: 2463: 2314: 2312: 2310: 2308: 2306: 2304: 2302: 2300: 1671:qualified immigration status to be eligible. 1508: 1112: 481: 203:Program of All-Inclusive Care for the Elderly 8: 4422:Arkansas Advocates for Children and Families 4249:Quadrennial Diplomacy and Development Review 3892:United States Social Security Administration 3255:Bush Vetoes Children's Health Insurance Plan 3190:Paulton, John (February 2009). "Game Plan". 2655: 2653: 2651: 2649: 2618: 2616: 2614: 1613:Health Resources and Services Administration 113:extended CHIP's authorization through 2029. 2766:(Press release). 1999-04-20. Archived from 2741:(Press release). 1999-02-23. Archived from 2432: 2430: 2428: 2426: 2272: 2270: 2268: 2266: 2264: 4607: 4254:Foreign policy of the Obama administration 4159: 4145: 4137: 3924: 3910: 3902: 3815:Centers for Medicare and Medicaid services 2789:"Overriding the SCHIP Veto by the Numbers" 1834:Patient Protection and Affordable Care Act 1605:Centers for Medicare and Medicaid Services 1515: 1501: 1130: 1119: 1105: 586: 488: 474: 364:Patient Protection and Affordable Care Act 352:Patient Safety and Quality Improvement Act 143: 122:Centers for Medicare and Medicaid Services 4376:State Children's Health Insurance Program 3779:"Trump signs budget deal ending shutdown" 3467:"Obama signs kids' health insurance bill" 3290:"Bush Vetoes Child Health Bill Privately" 2981:. Congressional Budget Office. 2007-05-10 2922:Rimsza ME, Butler RJ, Johnson WG (2007). 2279:"Clinton role in health program disputed" 2133: 1894:On February 9, 2018, Congress passed the 674:Sexual assault and misconduct allegations 162:Federal Employees Health Benefits Program 87:comprehensive health care reform proposal 48:State Children's Health Insurance Program 4943:United States federal health legislation 4493:"Women's Rights Are Human Rights" (1995) 2189:. The New York Times. September 27, 1994 1836:included funding for CHIP through 2015. 1795:Signing ceremony for the reauthorization 3993:Temporary Assistance for Needy Families 3220:Bush vetoes child health insurance plan 3162:GovTrack: H.R. 976: Text of Legislation 1983: 1133: 589: 146: 4933:Children's health in the United States 4116:Social Security debate (United States) 3860:Rodham Clinton, Hillary (1997-08-05). 3314:"Final Vote Results for Roll Call 982" 3073:"More SCHIP: Revived but already dead" 2248:Center on Budget and Policy Priorities 1146:This article is part of a series about 4938:Medicare and Medicaid (United States) 3753:"FINAL VOTE RESULTS FOR ROLL CALL 69" 2116:Rockefeller, John (October 4, 1990). 2063:. Vimo Research Group. Archived from 1962:Health insurance in the United States 1240:White House travel office controversy 270:Health insurance in the United States 111:Consolidated Appropriations Act, 2023 54:) – is a program administered by the 7: 3983:Social Security Disability Insurance 3473:. Associated Press. February 4, 2009 3071:Galloway, J; Kemper B (2007-09-21). 2086: 2084: 1952:Cigarette taxes in the United States 1832:The 2010 passage and signing of the 4623:2006 US Senate election in New York 4618:2000 US Senate election in New York 4313:Family Entertainment Protection Act 4269:UN Security Council Resolution 1888 3862:"Our Chance for Healthier Children" 3440:Connolly, Ceci (January 30, 2009). 2122:The New England Journal of Medicine 1653:California Healthy Families Program 1195:Children's Health Insurance Program 750:42nd President of the United States 556:Kennedy brought Republican Senator 197:Children's Health Insurance Program 40:Children's Health Insurance Program 18:Children’s Health Insurance Program 4065:Social Security Amendments of 1965 3491:O'Neill Hayes, Tara (2017-07-17). 3277:. White House. September 28, 2007. 3251:Abramowitz, Michael (2007-10-03). 1815:Tooltip Public Law (United States) 1771:Tooltip Public Law (United States) 1547:, although it was structured as a 693:40th and 42nd Governor of Arkansas 25: 4417:Tenures as First Lady of Arkansas 3973:Disability Determination Services 3726:Byrnes, Jesse (9 February 2018). 3385:Pear, Robert (February 4, 2009). 2439:"Giving Hillary Credit for SCHIP" 1466:Tenures as First Lady of Arkansas 1245:White House FBI files controversy 4541:An Invitation to the White House 4291: 4284: 4191:United States Secretary of State 3077:The Atlanta Journal-Constitution 2222:10.1001/jama.1995.03520270086044 2148: 1936: 1922: 1908: 1859:On September 18, 2017, Senators 1488: 1482: 1138: 1092: 1086: 1079: 594: 393:Massachusetts health care reform 4211:First Lady of the United States 3933:Social Security (United States) 3844:. February 2007. Archived from 3842:Health Policy Institute of Ohio 3535:Strauss, Valerie (2017-10-01). 3319:. U.S. House of Representatives 3134:. FactCheck.org. Archived from 2688:Peter T. Kilborn (1997-09-21). 1584:, Children's Defense Fund head 1180:First Lady of the United States 305:Preferred provider organization 299:Health maintenance organization 293:Exclusive provider organization 148:Healthcare in the United States 4498:"Basket of deplorables" (2016) 4412:Career in corporate governance 4391:White House Millennium Council 4381:Adoption and Safe Families Act 4080:Windfall Elimination Provision 3952:Social Security Administration 1461:Career in corporate governance 1225:White House Millennium Council 1200:Adoption and Safe Families Act 546:Massachusetts state legislator 264:Private Fee-For-Service (PFFS) 209:Veterans Health Administration 184:Prescription Assistance (SPAP) 1: 4668:2016 US presidential election 3978:Retirement Insurance Benefits 3707:www.appropriations.senate.gov 3048:. 8 July 2008. Archived from 3021:"Congressman Robert Aderholt" 2437:Brooks Jackson (2008-03-18). 2277:Susan Milligan (2008-03-14). 1896:Bipartisan Budget Act of 2018 1844:In 2015, Congress passed the 275:Health insurance marketplaces 4953:111th United States Congress 4948:110th United States Congress 4463:State Department controversy 4386:Foster Care Independence Act 3988:Supplemental Security Income 3821:. 2007-09-24. Archived from 3603:. 2017-09-18. Archived from 3516:Hagland, Mark (2015-04-17). 2834:"Medicaid and CHIP Programs" 2793:Center for American Progress 2419:(54): H2089. April 30, 1997. 1431:State Department controversy 1255:Response to Lewinsky scandal 1215:"Vast right-wing conspiracy" 1205:Foster Care Independence Act 568:On April 30, 1997, Senators 239:Health reimbursement account 4694:screen and stage performers 4318:Flag Protection Act of 2005 4106:Office of the Chief Actuary 4070:Social Security Death Index 3025:Congressman Robert Aderholt 2528:James Carney (1997-04-21). 2500:Pear, Robert (1997-03-14). 2135:10.1056/NEJM199010043231429 2056:Espe, Erik (October 2007). 1701:Congressional Budget Office 1593:Balanced Budget Act of 1997 1578:Balanced Budget Act of 1997 1411:Screen and stage performers 1386:Vice Presidential Selection 251:High-deductible health plan 72:Balanced Budget Act of 1997 4969: 4442:Cattle futures controversy 4432:Legal Services Corporation 4360:Vast right-wing conspiracy 4282: 4075:Social Security Trust Fund 3947:History of Social Security 3560:Chang, Clio (2017-09-28). 2058:"The Uninsured In America" 1699:In a 2007 analysis by the 1683:In 2007, researchers from 1533:State of the Union address 1401:Non-political endorsements 1355:2016 presidential campaign 1326:2008 presidential campaign 1261:U.S. Senator from New York 1250:Cattle futures controversy 544:pediatrics director and a 453:Fair Share Health Care Act 413:Vermont health care reform 228:Consumer-driven healthcare 156:Government health programs 46:) – formerly known as the 4349:Travel office controversy 4174: 4121:Social Security Wage Base 2169:Hosp Community Psychiatry 1799:In the wake of President 1537:conservative commentators 835:White House travel office 425:Municipal health coverage 233:Flexible spending account 4775:Clinton National Airport 4735:General election debates 4371:Save America's Treasures 4111:Primary Insurance Amount 3363:www.commonwealthfund.org 2860:Kaiser Family Foundation 2413:The Congressional Record 2395:The Congressional Record 1685:Brigham Young University 1220:Save America's Treasures 1005:Supreme Court candidates 882:Clinton–Lewinsky scandal 852:Operation Infinite Reach 643:Nonprofit organizations 603:This article is part of 582:House of Representatives 431:Healthcare in California 4581:The Book of Gutsy Women 4339:1993 health care reform 3700:"Appropriations report" 1569:Children's Defense Fund 1284:U.S. Secretary of State 652:Clinton Bush Haiti Fund 257:Medical savings account 222:Private health coverage 4718:running mate selection 4635:presidential primaries 4533:Dear Socks, Dear Buddy 4437:Whitewater controversy 4221:(1979–1981, 1983–1992) 4219:First Lady of Arkansas 3957:Social Security number 3522:Healthcare Informatics 2940:10.1542/peds.2006-2747 1887: 1796: 1573:Girl Scouts of the USA 1396:Political endorsements 1304:Obama's foreign policy 1235:Whitewater controversy 1016:Presidential campaigns 978:One America Initiative 461:(Howard Co., Maryland) 245:Health savings account 188:Military Health System 35: 4912:Activities after 2016 4857:Dorothy Howell Rodham 4730:Democratic opposition 4354:FBI files controversy 4003:Unemployment benefits 3497:American Action Forum 1881: 1824:on February 4, 2009. 1794: 1621:Medicaid managed care 1586:Marian Wright Edelman 1471:Activities after 2016 1391:Basket of deplorables 916:1993 health care plan 847:Republican Revolution 542:Boston Medical Center 436:Healthy San Francisco 168:Indian Health Service 130:federal poverty level 33: 4740:Hillary Victory Fund 4708:Democratic primaries 4611:Senatorial elections 4519:Senior thesis (1969) 4334:Tenure as First Lady 3422:on February 17, 2009 1916:United States portal 1840:2015 reauthorization 1787:2009 reauthorization 1741:On October 3, 2007, 1725:2007 reauthorization 1666:Eligibility for CHIP 1599:State administration 790:Presidential library 313:Medical underwriting 4807:Hillary and Clinton 4799:Saturday Night Live 4525:It Takes a Village 4488:Political positions 4239:Tenure as Secretary 4060:Social Security Act 4055:Revenue Act of 1942 3966:Assistance programs 3416:NCI Cancer Bulletin 3261:The Washington Post 2999:Michael F. Cannon. 2542:on February 8, 2009 2530:"Hatching Mischief" 2477:The Washington Post 2005:healthinsurance.org 1545:entitlement program 1169:Political positions 926:Balanced Budget Act 76:Social Security Act 4817:(2020 documentary) 4458:Clinton Foundation 3866:The New York Times 3759:. February 9, 2018 3294:The New York Times 2898:"CHIP Eligibility" 2820:2011-03-02 at the 2694:The New York Times 2669:The New York Times 2633:The New York Times 2565:"Sen. Orrin Hatch" 2506:The New York Times 2358:The New York Times 1888: 1797: 1426:Clinton Foundation 822:1995–1996 shutdown 657:One America Appeal 398:Oregon Health Plan 377:State level reform 326:Health care reform 280:Premium tax credit 36: 4920: 4919: 4908:(2011 photograph) 4760:Awards and honors 4748: 4747: 4699:other celebrities 4565:Stronger Together 4264:Email controversy 4134: 4133: 4126:Years of coverage 3340:. CNN. 2007-12-13 2795:. 17 October 2007 2333:on March 15, 2008 2128:(14): 1005–1007. 1879: 1525: 1524: 1446:Honors and awards 1314:Email controversy 1174:Electoral history 1161: 1160: 1129: 1128: 805:Executive actions 620: 619: 498: 497: 16:(Redirected from 4960: 4608: 4295: 4294: 4288: 4287: 4259:Hillary Doctrine 4222: 4214: 4206: 4194: 4183: 4161: 4154: 4147: 4138: 4045:Disability fraud 3926: 3919: 3912: 3903: 3875: 3873: 3872: 3856: 3854: 3853: 3833: 3831: 3830: 3796: 3795: 3793: 3791: 3774: 3768: 3767: 3765: 3764: 3749: 3743: 3742: 3740: 3738: 3723: 3717: 3716: 3714: 3713: 3704: 3696: 3687: 3686: 3684: 3682: 3668: 3662: 3657: 3651: 3646: 3640: 3639: 3637: 3636: 3622: 3616: 3615: 3613: 3612: 3593: 3587: 3582: 3576: 3575: 3573: 3572: 3566:The New Republic 3557: 3551: 3550: 3548: 3547: 3532: 3526: 3525: 3513: 3507: 3506: 3504: 3503: 3488: 3482: 3481: 3479: 3478: 3463: 3457: 3456: 3454: 3452: 3437: 3431: 3430: 3428: 3427: 3408: 3402: 3401: 3399: 3397: 3382: 3373: 3372: 3370: 3369: 3355: 3349: 3348: 3346: 3345: 3334: 3328: 3327: 3325: 3324: 3318: 3310: 3304: 3303: 3301: 3300: 3285: 3279: 3278: 3271: 3265: 3264: 3248: 3239: 3238: 3236: 3235: 3226: 3214: 3208: 3207: 3187: 3178: 3177: 3175: 3174: 3168: 3156: 3150: 3149: 3147: 3146: 3140: 3124: 3118: 3117: 3115: 3114: 3105: 3093: 3087: 3086: 3084: 3083: 3068: 3062: 3061: 3059: 3057: 3042: 3036: 3035: 3033: 3031: 3017: 3011: 3010: 3008: 3007: 2996: 2990: 2989: 2987: 2986: 2980: 2972: 2966: 2965: 2963: 2962: 2919: 2913: 2912: 2910: 2908: 2894: 2888: 2887: 2885: 2883: 2869: 2863: 2852: 2846: 2845: 2843: 2841: 2830: 2824: 2811: 2805: 2804: 2802: 2800: 2785: 2779: 2778: 2776: 2775: 2760: 2754: 2753: 2751: 2750: 2735: 2729: 2728: 2726: 2724: 2710: 2704: 2703: 2701: 2700: 2685: 2679: 2678: 2676: 2675: 2657: 2644: 2643: 2641: 2640: 2620: 2609: 2608: 2606: 2605: 2591:Phyllis Schlafly 2587: 2581: 2580: 2578: 2577: 2557: 2551: 2550: 2548: 2547: 2538:. 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Rodham 4848: 4842: 4836: 4829: 4827: 4823: 4822: 4820: 4819: 4811: 4803: 4795: 4787: 4785: 4781: 4780: 4778: 4777: 4772: 4767: 4762: 4756: 4754: 4750: 4749: 4746: 4745: 4743: 4742: 4737: 4732: 4727: 4726: 4725: 4720: 4715: 4705: 4704: 4703: 4702: 4701: 4696: 4686: 4678: 4672: 4670: 4664: 4663: 4661: 4660: 4655: 4650: 4645: 4639: 4637: 4629: 4628: 4626: 4625: 4620: 4614: 4612: 4605: 4597: 4596: 4594: 4593: 4585: 4577: 4569: 4561: 4553: 4549:Living History 4545: 4537: 4529: 4521: 4516: 4510: 4508: 4504: 4503: 4501: 4500: 4495: 4490: 4484: 4482: 4476: 4475: 4473: 4472: 4467: 4466: 4465: 4454: 4452: 4448: 4447: 4445: 4444: 4439: 4434: 4429: 4424: 4419: 4414: 4409: 4403: 4401: 4397: 4396: 4394: 4393: 4388: 4383: 4378: 4373: 4368: 4363: 4356: 4351: 4346: 4341: 4336: 4330: 4328: 4324: 4323: 4321: 4320: 4315: 4310: 4304: 4302: 4298: 4297: 4283: 4281: 4279: 4278: 4277: 4276: 4266: 4261: 4256: 4251: 4246: 4241: 4235: 4233: 4227: 4226: 4224: 4223: 4215: 4207: 4195: 4184: 4182:(2020–present) 4175: 4172: 4171: 4166: 4164: 4163: 4156: 4149: 4141: 4132: 4131: 4129: 4128: 4123: 4118: 4113: 4108: 4103: 4098: 4092: 4090: 4086: 4085: 4083: 4082: 4077: 4072: 4067: 4062: 4057: 4052: 4047: 4041: 4039: 4035: 4034: 4032: 4031: 4026: 4021: 4015: 4013: 4009: 4008: 4006: 4005: 4000: 3998:Ticket to Work 3995: 3990: 3985: 3980: 3975: 3969: 3967: 3963: 3962: 3960: 3959: 3954: 3949: 3943: 3941: 3937: 3936: 3931: 3929: 3928: 3921: 3914: 3906: 3900: 3899: 3894: 3889: 3882: 3881:External links 3879: 3877: 3876: 3857: 3834: 3806: 3804: 3801: 3798: 3797: 3769: 3744: 3718: 3688: 3663: 3652: 3649:H.R. 3922 3641: 3626:"Chipped away" 3617: 3588: 3577: 3552: 3527: 3508: 3483: 3458: 3432: 3403: 3374: 3350: 3329: 3305: 3280: 3266: 3240: 3209: 3179: 3151: 3119: 3108:Whitehouse.gov 3088: 3063: 3037: 3012: 2991: 2967: 2914: 2889: 2864: 2847: 2825: 2806: 2780: 2755: 2730: 2705: 2680: 2663:(1997-05-22). 2645: 2626:(1997-05-21). 2610: 2593:(1997-03-25). 2582: 2563:(2004-02-20). 2552: 2517: 2489: 2459: 2422: 2400: 2382: 2364: 2351:Pear, Robert. 2343: 2296: 2260: 2235: 2200: 2178: 2159: 2108: 2080: 2048: 2017: 1992: 1982: 1981: 1979: 1976: 1975: 1974: 1969: 1964: 1959: 1954: 1948: 1947: 1933: 1919: 1903: 1900: 1853: 1850: 1841: 1838: 1829: 1826: 1788: 1785: 1775:110–173 (text) 1760:H.R. 3963 1755: 1752: 1743:President Bush 1731: 1728: 1726: 1723: 1718:George W. 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