The State Children's Health Insurance Program (CHIP) was created as part of the Balanced Budget Act of 1997. The new program offered nearly $40 billion over 10 years (1998 through 2007) to states in the form of capped allotments to expand health insurance coverage to uninsured, low-income children. The states could use the funds to expand their existing Medicaid programs, create a separate children's coverage program, or use a combination of the two approaches.
Approximately 7 million children were served by CHIP in 2008, yet more than 5 million children remain eligible for publicly financed coverage but have not enrolled. With the reauthorization of CHIP legislation on February 4, 2009, an additional $32.8 billion will be provided through September 2013 to preserve health coverage for 6.7 million children and extend coverage to 4.1 million more. We offer research and analysis of the CHIP program and enrollment efforts in numerous publications and RWJF-supported journal articles.