Forum Session

CHIPRA One Year Later: Where Does Implementation Stand?
March 19, 2010


Judith D. Moore


The Children's Health Insurance Program Reauthorization Act (CHIPRA), enacted in February 2009, follows the basic structure of the earlier State Children's Health Insurance Program (SCHIP). It provides generous federal funding to states to administer a program of insurance coverage for children in families who earn too much to qualify for Medicaid but cannot afford to purchase private insurance coverage. The CHIPRA provisions focus more clearly on low income children and provide incentives and innovations to speed up enrollment of eligible children in both CHIP and Medicaid, including federal bonus payments to states. CHIPRA also changes the financing arrangements and mandates new initiatives to strengthen children's health programs. This Forum Session provided an overview of CHIPRA implementation, highlighting both federal and state activities. Speakers addressed issues related to financing, eligibility and enrollment, outreach, and the new quality and access features of the program. The problems of implementing this significant children's program during a year of increasing state budget shortfalls was also be discussed.


Victoria Wachino, Director, Family and Children’s Health Programs Group, Center for Medicaid and State Operations, Department of Health and Human Services; Andrew Allison, Executive Director, Kansas Health Policy Authority; Judith A. Arnold, Director, Division of Coverage and Enrollment, New York Department of Health; Cathy Caldwell, Director, ALL Kids Program, Alabama Department of Public Health; and, Mary Dalton, Director, Medicaid and Health Services Branch Manager, Montana Department of Public Health and Human Services

Slides from the presentation by Ms. Wachino are available for download, as are speaker biographies.

Related Materials

See also "The Children's Health Insurance Program (CHIP): The Fundamentals" (Background Paper No. 68, April 23, 2009).

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