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State Adoption of Coverage and Enrollment Options in The Children’s Health Insurance Reauthorization Act of 2009

The Children’s Health Insurance Reauthorization Act of 2009 (CHIPRA) extended and expanded the Children’s Health Insurance Program (CHIP), which was originally enacted in 1997. Together Medicaid and CHIP cover more than 32 million children, providing them access to needed care, including ongoing preventive and primary care that is key for children’s health and development and financial protections for their families.

CHIPRA added $33 billion in federal funds for children’s coverage through 2013 and included provisions designed to increase and strengthen coverage for children in both Medicaid and CHIP. This fact sheet provides an overview of new coverage options, enrollment tools, and incentives provided by CHIPRA and state adoption of these options to date.

Fact Sheet (.pdf)