The Impact Of Recent CHIP Eligibility Expansions On Children’s Insurance Coverage, 2008–12

Abstract

Following the reauthorization of the Children's Health Insurance Program (CHIP) in 2009, fifteen states raised their CHIP income eligibility thresholds to further reduce uninsurance among children. We examined the impact of these expansions on uninsurance, public insurance, and private insurance among children who became newly eligible for CHIP after the expansions. Using a difference-in-differences approach, we estimated that the expansions reduced uninsurance by 1.1 percentage points among the newly eligible, cutting their uninsurance rate by nearly 15 percent. Public coverage increased by 2.9 percentage points, with variations in take-up among the states. A better understanding of these state-level differences in take-up could inform efforts to enroll children who remain uninsured but are eligible for CHIP. CHIP is up for reauthorization in 2015, and further funding will be needed to maintain the program, which provides insurance to children who might not have access to affordable private coverage.

Effects of citizenship status, Latino ethnicity, and household language on health insurance coverage for U.S. adolescents, 2007‐2016

“…Between 1997 and 2016, the percentage of youth ages 0‐18 without any form of health insurance dropped from 14 percent to 5 percent . The Children's Health Insurance Program Reauthorization Act (CHIPRA) of 2009 extended federal funding for CHIP and provided states with additional outreach and enrollment dollars for uninsured children and youth eligible for either Medicaid or CHIP, resulting in additional decreases in the uninsured rate . CHIPRA also included the Legal Immigrant Children's Health Improvement Act (ICHIA) which restored a state's option to use federal funds to extend Medicaid and CHIP coverage to certain lawfully residing immigrant children and pregnant women with fewer than 5 years of residence; as of January 1, 2019, 33 states had elected this option for children and youth .…”

Red-State Medicaid Expansions — Achilles’ Heel of ACA Repeal?

“…important role in reducing the uninsured rate among children. 6 Consistent with this time-series evidence, research examining specific changes in state CHIP and Medicaid programs enabled by CHIPRA has concluded these changes were effective in expanding coverage for children (Blavin, Kenney, and Huntress 2014;Goldstein et al 2014). 6 Figure 5 uses adults ages 26-64 (rather than all non-elderly adults) as a comparison group in order to exclude any effects of the Affordable Care Act's dependent coverage expansion, which took effect in late 2010.…”

The Role of Public and Private Insurance Expansions and Premiums for Low-income Parents

“…The treatment group includes parents eligible for insurance expansions, whereas the control group consists of near eligible parents r300% of the FPL in expansion states. 12,26 With this method, we were limited to states with one expansion (n = 11) during the study period (Table 1). We used logistic regression to estimate individual insurance coverage and multinomial logistic regression to estimate the joint insurance configuration among dyads.…”