The State Children's Health Insurance Program, known as SCHIP or CHIP, is administered by HHS, providing matching funds to states for health insurance to families with children. It was designed to cover uninsured children in low-income families with incomes still too high to qualify for Medicaid. When created in 1997, SCHIP was the largest expansion of taxpayer-funded health insurance coverage for U.S. children since Medicaid was enacted three decades earlier. States are given flexibility in designing their SCHIP eligibility requirements and policies within broad federal guidelines. Some states have received authority through waivers of statutory provisions to use SCHIP funds to cover the parents of children receiving benefits from both SCHIP and Medicaid, pregnant women and other adults. According to one estimate, SCHIP covered 6.6 million children and 670,000 adults at some point during federal fiscal 2006. Several attempts to expand SCHIP were vetoed by President George W. Bush. In 2009, President Barack Obama signed the Children's Health Insurance Reauthorization Act, expanding the program to an additional 4 million children and pregnant women. More recently, as states grapple with budget deficits, some have targeted their SCHIP programs for cuts or elimination.
- Round 1: Lost To Passage of the Health Insurance Portability and Accountability Act