ASPE ISSUE BRIEF
Children’s Health Coverage on the 5th Anniversary of CHIPRA
By: Kenneth Finegold and Sophia Koontz
The fifth anniversary of the Children's Health Insurance Program Reauthorization Act (CHIPRA), which President Obama signed into law on February 4, 2009, provides an opportunity to take stock of the impact of the Children’s Health Insurance Program (CHIP) and Medicaid during this period. CHIPRA’s successes include increased health insurance coverage, improved access to health care, and reduced financial burdens and stress for parents.
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The fifth anniversary of the Children's Health Insurance Program Reauthorization Act (CHIPRA), which President Obama signed into law on February 4, 2009, provides an opportunity to take stock of the impact of the Children’s Health Insurance Program (CHIP) and Medicaid on the health insurance coverage of children; their access to health care services; and the financial security of their parents.
Health Insurance Coverage:
- The expansion of health insurance coverage through Medicaid and CHIP has reduced the share of low-income children who are uninsured from 25 percent in 1997 to 13 percent in 2012. There are 4 million more children insured in Medicaid or CHIP since CHIP was reauthorized; this corresponds to a decline of 3 percentage points in the share of children without health insurance.
- The gains in coverage have been experienced among low-income children in all racial and ethnic groups, but are especially striking for low-income Latino children: the share of low-income Latino children who are uninsured fell from 34 percent in 1997 to 17 percent in 2012.
Access to Health Care Services:
- The availability of CHIP has improved children’s access to health care services: four-fifths of children received a preventive visit and 86 percent had a doctor or other health professional visit in 2012.
Parents’ Financial Security:
- CHIP coverage has provided parents with financial security regarding the health care needs of their children and has reduced parents’ worries about their children’s health: 92 percent of parents of CHIP enrollees never or rarely had problems paying their child’s medical bills for care.