CHIPRA Mandated Evaluation of the Children's Health Insurance Program: Final Findings. Executive Summary


Passed with bipartisan support in the Balanced Budget Act of 1997, the Children’s Health Insurance Program (CHIP) celebrated its 16th anniversary in August 2013. Legislation reauthorizing CHIP, the Children’s Health Insurance Program Reauthorization Act (CHIPRA), was signed into law on February 4, 2009, providing significant new financial support for the program and introducing various initiatives to increase enrollment, improve retention, and strengthen access and quality of care in Medicaid and CHIP. A total of 8.13 million children were enrolled in CHIP at some point in FFY 2013.

Congress mandated in CHIPRA that the Secretary of the U.S. Department of Health and Human Services conduct an independent comprehensive evaluation of CHIP patterned after an earlier evaluation Congress mandated in the Balanced Budget Refinement Act (BBRA) of 1999.1 Mathematica Policy Research and its partner the Urban Institute were awarded the contract in 2010 to conduct the current evaluation, which is being overseen by the Office of the Assistant Secretary for Planning and Evaluation (ASPE). An interim report was sent to Congress in 2011 that described the status and evolution of state CHIP programs throughout the United States as of 2010 and summarized the evidence available at that time about the role and impacts of CHIP. This final report synthesizes evidence collected through the CHIPRA evaluation of CHIP.

1 Appendix A contains copies of the relevant sections of the CHIPRA (P.L. 111-3) and BBRA (H.R. 3426) legislation.

View full report


"rpt_CHIPevaluation.pdf" (pdf, 1.01Mb)

Note: Documents in PDF format require the Adobe Acrobat Reader®. If you experience problems with PDF documents, please download the latest version of the Reader®