Children's Health Insurance Program

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Photo: Seth Dixon, St. Jude Children’s Research Hospital; Memphis, Tennessee

Latest Update

Congress extended funding for the Children's Health Insurance Program (CHIP) for an additional 10 years. This new extension, combined with previously approved funding, ensures CHIP and critical program components for a decade to come. Children's hospitals advocated strongly for a long-term extension to give states and families crucial predictability and security.


COVID-19 Update: our resource hub for children’s hospitals tracks policy-related resources helpful to your work during the COVID-19 crisis.


Press Release
CHA Statement on House Passage of the Build Back Better Act
November 19, 2021

We are pleased to see inclusion of multiple provisions that benefit children and families.

Press Release
CHA Statement on Domestic Policy Framework
October 29, 2021

Children's hospitals are pleased to see today's progress on President Biden's domestic policy legislative framework.

Looking Back on 10 Years of CHA
April 28, 2021

As we build foundations for our future, we look back on what we’ve built and learned together.

Fact Sheet
Health Care Coverage Sources for America's Children
April 1, 2021

Children receive health care coverage through an array of programs that protects our nation's kids, and investment in that system remains critical.

Analysis or Summary
COVID-19 Emergency Declaration Timeline
March 19, 2021

The COVID-19 public health emergency will likely be extended to the end of 2021.

Analysis or Summary
CMS Releases Guidance to States on Addressing Social Determinants of Health in Medicaid and CHIP
March 3, 2021

CMS released a letter to state health officials providing guidance under Medicaid and CHIP to address SDOH.

Analysis or Summary
Chart of Section 1135 Waivers for State Medicaid/CHIP COVID-19 Response
February 19, 2021

This chart summarizes approved state 1135 waivers of Medicaid and CHIP requirements and will be updated as CMS approves additional states' requests.

Analysis or Summary
Securing Updated and Necessary Statutory Evaluations Timely (SUNSET) Final Rule Summary
January 15, 2021

HHS released the SUNSET final rule.

Analysis or Summary
Implications for Children of ACA Constitutionality Case
October 22, 2020

The Fifth Circuit Court of Appeals ruled that the ACA's individual mandate and the entire law is unconstitutional.

Analysis or Summary
Section 1557 Final Rule Summary Highlights Roll Back of Nondiscrimination Protections; Impact of Recent Court Actions
August 28, 2020

HHS released a final rule to roll back key aspects of a former rule that implemented the ACA's non-discrimination provisions, known as Section 1557.

Letter or Testimony
CHA Sends Letter to Senate Finance Committee on Solutions to Improve Maternal Health
April 3, 2020

We submitted a letter in response to the Senate Finance Committee's RFI on maternal mortality and morbidity.

Announcement or News
Join Every Child Counts Day to Promote the 2020 Census
March 13, 2020

Efforts are ramping up to highlight the importance of counting all kids in the 2020 Census.

Improving Rates of Counseling Parents/Caregivers of Patients with Suicidality on Restricting Access to Lethal Means
November 21, 2019

Best practices for improving counseling on restricting access to lethal means developed based on the Pediatric Hospital Care Improvement Project (P-HIP) 12-month learning collaborative.

Promoting Safe Hospital-to-Home Transitions
November 21, 2019

Best practices for improving hospital-to-home family/caregiver written discharge instructions to reduce potential medical complications.

Reference Material
Focusing on Children's Mental Health
September 12, 2019

Learn more about children's mental health and how children's hospitals are addressing these challenges.

Press Release
Children's Hospitals Alarmed by Drop in Children's Insurance Rate
September 11, 2019

A Census Bureau report shows a startling increase of uninsured children in 2018.

Analysis or Summary
High-level Summary of Public Charge Final Rule
September 11, 2019

The Department of Homeland Security released the final rule, "Inadmissibility on Public Charge Grounds," on Aug. 12, 2019.

Analysis or Summary
Alston & Bird Backgrounder on Medical Deferred Action Status for Immigrants in Need of Medical Care
September 6, 2019

Alston & Bird prepared a backgrounder on medical deferred action status.

Analysis or Summary
CHA Summary of Price and Quality Transparency Executive Order
June 28, 2019

On June 21, the president issued an executive order (EO) that instructs several federal agencies to take a variety of actions to increase health care price, quality, and data transparency.

Letter or Testimony
CHA Comments on Inflation Index Changes and Impact on Poverty Thresholds
June 21, 2019

CHA submitted comments to the Office of Management and Budget (OMB) on possible changes to the inflation index used to annually update the federal poverty threshold.

Fact Sheet
2019 State Medicaid Fact Sheets
May 1, 2019

State fact sheets that provide key data to demonstrate the importance of Medicaid to children, pediatricians and children's hospitals.

Talking Points
CHIP: A Bipartisan Success Story
January 16, 2019

Children's hospitals applaud Congress for passing a 10-year CHIP extension, providing stability for millions of children who rely on CHIP.

Letter or Testimony
Summary on Public Charge Proposed Rule
December 14, 2018

The proposed rule would be problematic for children since it does not recognize the importance of Medicaid and CHIP in the coverage landscape for children, particularly those with chronic or complex conditions who qualify based on medical need.

Letter or Testimony
CHIP Rescissions Group Letter
May 11, 2018

CHA and over 500 other organizations signed a letter to Congress opposing the proposed CHIP rescissions.

Analysis or Summary
MACPAC Reports to Congress
April 9, 2018

The Medicaid and CHIP Payment and Access Commission (MACPAC) releases reports to Congress in March and June each year on different aspects of Medicaid and the Children’s Health Insurance Program (CHIP).


Policy Update Calls

Members receive the latest updates and suggest ways to best influence policy issues that impact children's health and children's hospitals in a weekly conference call.