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Issue Brief
March 2009

CHIPRA 101: Overview of the CHIP Reauthorization Legislation

When CHIP was created, it represented a new federal commitment to ensuring that children in working families would have access to high-quality, affordable health coverage. CHIP enjoyed broad, bipartisan support, and it helped reduce the percentage of children who are uninsured by nearly a third even as the percentage of adults who were uninsured rose. The Children’s Health Insurance Program Reauthorization Act of 2009, or CHIPRA, signals that the federal government intends to build on its commitment to improve access to health care for children in working families.

CHIPRA includes significant changes that are designed to increase participation among eligible uninsured children. The legislation provides states with additional funding, new tools and incentives to make it easier to enroll eligible children, and a better benefits package to ensure that children who are enrolled get access to the full range of health care services.

This brief discusses CHIPRA’s

  • significant new funding
  • changes in who is eligible for CHIP
  • tools to help enroll more children in Medicaid and CHIP
  • provisions designed to improve children’s health