The passage of the Affordable Care Act represents an historic change in the way health insurance has been handled in the United States. With political discourse about the act continuing to occupy public policy debates and the news media, this collection attempts to shed light on the impact of the policy on citizens and providers as well as examine how the ACA is affecting quality, access, and costs of care.

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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.

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.

Implications for Medicaid/Medicare