Balanced Budget Act (P.L. 105-33)
1. Established the State Children’s Health Insurance Program through Title XXI of the Social Security Act.
2. Outlined federal and state shared funding, eligibility criteria, and options for expanding coverage to children.
Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act (H.R. 3426),
incorporated in the Consolidated Appropriations Act (P.L. 106-113)
1. Revised the allotment formula and put new floors and ceilings in place to limit the fluctuation of states’ CHIP allocations from year to year.
2. Increased allotments for the territories for fiscal years (FY) 2000–07.
3. Provided funding for state-level data collection and a federal evaluation to identify barriers to enrollment, useful outreach and enrollment practices, and factors that affect program dropout rates.
Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act (H.R. 5661), incorporated in the Consolidated Appropriations Act (P.L. 106-554)
1. Set rules for redistributing unspent FY 1998 and 1999 allotments.
2. Elucidated states’ ability to carry out presumptive eligibility determinations under separate CHIP programs.
3. Allowed Title XXI appropriations to cover Medicaid-expansion CHIP costs rather than Medicaid appropriations.
Deficit Reduction Act (P.L. 109-171)
1. Provided additional allotments to states anticipating FY 2006 funding shortfalls.
2. Prohibited new coverage of non-pregnant, childless adults with CHIP funding but allowed waivers approved prior to this law authorizing this coverage to remain in effect.
3. Permitted qualifying states to use available FY 2001, 2004, and 2005 CHIP funds toward coverage of payments after September 30, 2005, for particular children enrolled in regular Medicaid.
U.S. Troop Readiness, Veterans’ Care, Katrina Recovery, and Iraq Accountability Appropriations Act (P.L. 110-28)
1. Provided additional allotments (up to $650 million total) to states anticipating FY 2007 funding shortfalls.
2. Permitted Medicaid Pharmacy Plus waivers that would have expired on June 30, 2007, to continue through the end of 2009.
3. Mandated the use of tamper-resistant prescription pads for Medicaid prescriptions after September 30, 2007.
Medicare, Medicaid, and SCHIP Extension Act (P.L. 110-173)
1. Provided CHIP funding for FY 2008 and 2009.
Children’s Health Insurance Program Reauthorization Act (P.L. 111-3)
1. Reauthorized CHIP through 2013.
Patient Protection and Affordable Care Act (P.L. 111-148)
1. Reauthorized CHIP through September 30, 2015.
2. Required states to maintain current income eligibility levels through September 30, 2019, and prohibited more restrictive eligibility practices than those in place upon the enactment of the law.
3. Allowed states to establish waiting lists in order to limit CHIP expenditures to those for which federal funds are available.