Children's Health Insurance Program (CHIP)

Understanding Coverage Considerations for COVID-19 Vaccines and Treatments (Updated May 2023)

This Issue Brief examines children’s health coverage trends using the National Health Interview Survey from 2010 through the third quarter of 2022 and reviews recent research findings from the National Survey of Children's Health on children’s access to and utilization of health care services during this period, including the COVID-19 pandemic.

People facing economic instability often need more than one program or service. This pre-pandemic analysis looks at the reach of the social safety net, including the interaction of specific programs, to better understand program participation as the economy continues to recover. Key Points:

Using a national Medicaid database, the report shows significant racial/ethnic disparities in mental health service use among children during the COVID-19 pandemic.

Nutrition assistance programs have been shown to increase children’s health and well-being and decrease the risk of child maltreatment. At the same time, food insecurity rose in the early days of the COVID-19 pandemic.

This report provides current HHS projections of the number of individuals predicted to lose Medicaid coverage at the end of the COVID-19 public health emergency (PHE) due to a change in eligibility or due to administrative churning.

This report provides an overview of the characteristics of the immigrant population in the United States, their health status and barriers to care, recent trends in health insurance coverage, their access to Federal health programs, and how they have been affected by the Covid-19 pandemic. It also offers possible policy approaches to improve health care equity for this diverse population.

Participation in the social safety net varies widely across programs—from 15 percent among eligibles for subsidized child care (CCDF) to over 75 percent for Medicaid/CHIP and EITC.  Participation differs by race and ethnicity, yet patterns are not consistent. In general rates differ more across programs than between race-ethnic groups.

ASPE FMAP 2017 REPORT Federal Financial Participation in State Assistance Expenditures; Federal Matching Shares for Medicaid, the Children’s Health Insurance Program, and Aid to Needy Aged, Blind, or Disabled Persons for October 1, 2016 through September 30, 2017​

This paper compares CHIP and QHP out-of-pocket spending for premiums and cost sharing, taking into account premium subsidies and cost-sharing reductions for Marketplace plans. We also review analyses done by others comparing the benefit packages in separate CHIP plans and QHPs.