title: State Children's Health Insurance Program financing and the need for significant federal funding increases as part of reauthorization.
abstract: In order to better inform the debate as federal policymakers prepare to reauthorize the State Children's Health Insurance Program (SCHIP) in 2007, this brief analyzes the key components of the financing structure of SCHIP including capped federal block-grant funding, the methodology for determining state's allotments of federal funding, the period of availability of allotments, and the redistribution of unspent funds. In addition, estimates presented in this brief indicate that under Congressional Budget Office baseline assumptions, SCHIP is reauthorized but annual SCHIP funding will be permanently frozen at 5.04 billion US dollars without any increases for population growth or healthcare inflation. As a result, states will suffer an aggregate federal SCHIP funding shortfall of 10.4 billion US dollars to 12.1 billion US dollars over the 5-year period from 2008 through 2012, thus placing SCHIP coverage of many low-income children at significant risk. As part of SCHIP reauthorization, federal policymakers should include substantial increases to SCHIP funding above baseline levels to avert these shortfalls.
authors.affiliation: Health Policy Department, The Center on Budget and Policy Priorities, Washington, DC 20002, USA. broaddus@cbpp.org
authors.forename: Matt
authors.initials: M
authors.lastname: Broaddus
authors.forename: Edwin
authors.initials: E
authors.lastname: Park
mesh_terms: D002662:Child Health Services / Q000191:economics*; D002675:Child, Preschool; D005380:Financing, Government / Q000639:trends*; D006801:Humans; D008484:Medicaid; D013219:State Government; D014481:United States