This report summarizes the state of Children's Health Insurance Programs (CHIP) throughout the United States prior to major policy changes in 2009 and 2010. The basis for this report is a NASHP comprehensive survey of CHIP programs, capturing information including operating structure, enrollment efforts, eligibility criteria, and quality standards.

From the report:

This report—the fourth in a series published by the National Academy for State Health Policy (NASHP) since 1999—paints a portrait of state Children’s Health Insurance Programs (CHIP) as they stood in mid 2008- roughly a decade after the federal CHIP program was enacted, a half year before CHIP was reauthorized, and just short of two years before national health care reform legislation was enacted. Together with state CHIP fact sheets, which NASHP published in August, 2010, the report paints a detailed picture of these state programs before changes that accompany both these important laws. Based on analyses of responses to NASHP’s fourth comprehensive survey of state CHIP programs, the report and fact sheets provide a baseline against which to monitor and understand changes in state CHIP programs that are being heavily driven by federal policy as well as by state goals, needs and circumstances. As with the three previous reports, this report examines state program characteristics and policies for both Medicaid expansion (M-CHIP) and separate (S-CHIP) programs in a range of areas, from program structure, to eligibility, outreach and enrollment, to benefits and cost sharing, to service delivery, access and quality. Forty six (including the District of Columbia) or 90 percent of states, operating 39 S-CHIP and 27 M-CHIP programs, responded to the survey.

Full Report: Charting CHIP IV: A Report on State Children’s Health Insurance Programs (PDF | 2.49 MB)

National Academy for State Heatlh Policy. (2011). Charting CHIP IV: a report on state Children's Health Insurance Programs prior to major federal policy changes in 2009 and 2010. Hess, C., Farrell, K., deLone, S., Grossman, L., Rao, N., and Osius, E.