CHIPRA Mandated Evaluation of the Children's Health Insurance Program: Final Findings. XI. Conclusions and Policy Implications


This evaluation demonstrated that CHIP has succeeded in expanding health insurance coverage for children, increasing their access to needed health care, and reducing the financial burdens and stress on families associated with meeting children’s health care needs. These positive impacts were found for children and families in states with different CHIP program designs and features, across demographic and socioeconomic groups, and for children with different health care needs. The findings from this evaluation affirm and build on those in the prior congressionally mandated evaluation of CHIP that was released in 2005 (Wooldridge et al. 2005). As a result of CHIP, since 1997, millions of low- and moderate-income children have secured health insurance coverage and needed care and their families have received significant fiscal relief from the costs associated with addressing their children’s health care needs. This chapter summarizes the main evaluation findings and then closes with a discussion of policy implications, highlighting issues affecting the future of CHIP in the context of policies implemented under the Affordable Care Act.

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