CHIP and the ACA Maintenance of Effort (MOE) Requirement: In Brief [February 11, 2015]   [open pdf - 218KB]

In the context of this document, CHIP stands for Children's Health Insurance Program and ACA stands for Affordable Care Act. From the Summary: "State Children's Health Insurance Program (CHIP) is a means-tested program that provides health coverage to targeted low-income children and pregnant women in families that have annual income above Medicaid eligibility levels but do not have health insurance. CHIP is jointly financed by the federal government and the states and administered by the states. The federal government sets basic requirements for CHIP, but states have the flexibility to design their own version of CHIP within the federal government's basic framework. States may design their CHIP programs in three ways: a CHIP Medicaid expansion, a separate CHIP program, or a combination approach in which the state operates a CHIP Medicaid expansion and one or more separate CHIP programs concurrently. As a result, there is significant variation across CHIP programs. In FY2013, CHIP enrollment totaled 8.4 million and federal and state CHIP expenditures totaled $13.2 billion. Under the CHIP statute, FY2015 is the last year federal CHIP funding is provided, even though the Patient Protection and Affordable Care Act (ACA; P.L. 111-148, as amended) child maintenance of effort (MOE) requirement is in place through FY2019.[...] This report discusses the ACA MOE requirement for children if federal CHIP funding expires. It begins with a brief background about CHIP, including information regarding program design and financing. The report then describes the ACA child MOE requirements for CHIP Medicaid expansion programs and for separate CHIP programs and discusses potential coverage implications."

Report Number:
CRS Report for Congress, R43909
Public Domain
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