Medicaid/CHIP - Health Policy, Public Opinion & Research

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The Crunch Continues: Medicaid Spending, Coverage and Policy in the Midst of a Recession
The annual 50-state survey by the Foundation's Kaiser Commission on Medicaid and the Uninsured finds sharp rises in Medicaid enrollment and spending during the economic downturn, straining state budgets and pressuring officials to curb program costs despite extra financial help from the federal government.

Putting Children on the Express Lane to Health Insurance: Streamlining Enrollment and Renewal of Children in Medicaid and CHIP Through Express Lane Eligibility
This series of issue briefs explains and examines key issues related to Express Lane Eligibility, a new tool authorized by the Children's Health Insurance Program Reauthorization Act of 2009 that helps states streamline enrollment and renewal of children in Medicaid and CHIP.

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Access to Abortion Coverage and Health Reform -- November 2009
This issue brief discusses the treatment of coverage for abortion services under the major health reform bills and explores the possible impact of the House-passed legislation on public and private coverage for abortion services.

Medicaid and Children’s Health Insurance Program Provisions in the House Leadership Bill: Affordable Health Care for America Act (HR 3962) -- November 2009
This brief compares the Medicaid and Children's Health Insurance Program provisions in the House Leadership health reform bill, H.R. 3962, Affordable Health Care for America Act, to current law.

Putting Children on the Express Lane to Health Insurance: Streamlining Enrollment and Renewal of Children in Medicaid and CHIP Through Express Lane Eligibility -- October 2009

Putting Children on the Express Lane to Health Insurance: Streamlining Enrollment and Renewal of Children in Medicaid and CHIP Through Express Lane Eligibility

Health Reform Issues: State Financing and Medicaid -- October 2009
This issue brief highlights some of the potential benefits and costs to the states associated with a significant expansion of Medicaid of the sort proposed in leading health reform bills in Congress.

Medicaid and State Budgets: From Crunch to Cliff -- October 2009

This fact sheet discusses the status of Medicaid and state budgets in light of the continuing recession and the federal fiscal relief provided to state Medicaid programs through the American Recovery and Reinvestment Act (ARRA).

Health Coverage of Children: The Role of Medicaid and CHIP -- October 2009

This fact sheet summarizes the latest coverage data on the nation's children and examines the key role played by two public health coverage programs, Medicaid and CHIP.

The Sleeper in Health Reform: Long-Term Care and the CLASS Act -- October 2009

This Kaiser briefing examines the Community Living Assistance Services and Supports (CLASS) Act, a provision in two leading health reform bills that would establish a national voluntary insurance program to allow for voluntary pre-financing of long-term care through payroll deductions and then provide a cash benefit to purchase services.

Medicaid Beneficiaries and Access to Care -- October 2009

This fact sheet summarizes Medicaid beneficiaries' experience in obtaining access to care. Research shows that Medicaid compares favorably with private coverage in connecting low-income children and adults with primary and preventive care.

Health Insurance Coverage in America, 2008 -- October 2009
This online chartbook provides a comprehensive profile of the uninsured and health insurance coverage overall, including downloadable PowerPoint figures and Excel tables for the nonelderly population, children, nonelderly adults and working adults.

The Uninsured: A Primer -- October 2009

Updated with 2008 data, this primer reviews the basic profile of the uninsured population, how they receive care, the latest trends in health insurance coverage, key issues in increasing coverage and basic statistics on the uninsured. More detailed breakdowns are available in supplemental data tables.

This issue brief discusses the treatment of coverage for abortion services under the major health reform bills and explores the possible impact of the House-passed legislation on public and private coverage for abortion services.

This brief compares the Medicaid and Children's Health Insurance Program provisions in the House Leadership health reform bill, H.R. 3962, Affordable Health Care for America Act, to current law.

Putting Children on the Express Lane to Health Insurance: Streamlining Enrollment and Renewal of Children in Medicaid and CHIP Through Express Lane Eligibility

This issue brief highlights some of the potential benefits and costs to the states associated with a significant expansion of Medicaid of the sort proposed in leading health reform bills in Congress.

This fact sheet discusses the status of Medicaid and state budgets in light of the continuing recession and the federal fiscal relief provided to state Medicaid programs through the American Recovery and Reinvestment Act (ARRA).

This fact sheet summarizes the latest coverage data on the nation's children and examines the key role played by two public health coverage programs, Medicaid and CHIP.

This Kaiser briefing examines the Community Living Assistance Services and Supports (CLASS) Act, a provision in two leading health reform bills that would establish a national voluntary insurance program to allow for voluntary pre-financing of long-term care through payroll deductions and then provide a cash benefit to purchase services.

This fact sheet summarizes Medicaid beneficiaries' experience in obtaining access to care. Research shows that Medicaid compares favorably with private coverage in connecting low-income children and adults with primary and preventive care.

This online chartbook provides a comprehensive profile of the uninsured and health insurance coverage overall, including downloadable PowerPoint figures and Excel tables for the nonelderly population, children, nonelderly adults and working adults.

Updated with 2008 data, this primer reviews the basic profile of the uninsured population, how they receive care, the latest trends in health insurance coverage, key issues in increasing coverage and basic statistics on the uninsured. More detailed breakdowns are available in supplemental data tables.

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Medicaid/CHIP

Medicaid is the nation's public health insurance program for low-income Americans, financing health and long term care services for more than 55 million individuals. The program provides access to affordable and comprehensive health care for children and adults in low-income working families and for the elderly and disabled who often rely on the program to fill in critical gaps in their Medicare coverage. Although three quarters of Medicaid's enrollees are adults or children, the elderly and disabled account for 70% of the program's expenditures. Financed and operated jointly by the states and federal government, Medicaid accounts for roughly one sixth of the nation’s health care spending and almost half of all spending on long term care. As the largest source of federal support to the states, Medicaid is also a major engine in state economies, supporting millions of jobs across the country. Its guarantee of open-ended federal financing that matches state spending enables states to respond to losses of private health insurance attributable to unemployment and rising health insurance premiums, increases in health care costs, emergencies and disasters, and an aging society.

The State Children's Health Insurance Program (CHIP) was enacted in 1997 to provide a capped amount of federal matching funds to states for coverage of children and some parents with incomes too high to qualify for Medicaid, but for whom private health insurance was either unavailable or unaffordable. Covering roughly four million children, CHIP has played an important role in reducing the number of uninsured children in America.

This section provides data and information on the Medicaid and CHIP programs with a focus on the populations they serve. Analyses of proposals to restructure these programs, data from surveys, studies of the impact of recent programmatic changes on beneficiaries, and basic information on how the programs operate and are administered can all be found here. These materials can help to inform discussions of reform proposals and efforts to improve and maintain health coverage and financing for the low-income disabled and elderly populations, families, and children who are left out of our country’s fragmented, employer-based health care system.

The Kaiser Commission on Medicaid and the Uninsured is the main source for the Foundation's work related to the Medicaid and CHIP programs. Begun in 1991, the Commission is the largest operating program of Henry J. Kaiser Family Foundation and has brought increased analysis and attention to health coverage issues facing the low-income population for over a decade. Through its reports and briefings, the Commission continues to provide up-to-date information on Medicaid and CHIP and assesses options for reform.