This Kaiser Family Foundation brief compares the Medicaid and Children's Health Insurance Program provisions in the new health reform law with pre-reform law governing those programs, identifying Medicaid coverage, access and financing change and how the two programs will interface with a new health insurance exchange.

From the report:

The Congressional Budget Office (CBO) estimates that the legislation will increase Medicaid/CHIP coverage by 16 million from a baseline of 35 million by 2019 with a federal Medicaid/CHIP federal cost of $434 billion from 2010 to 2019 due to coverage related changes. CBO estimates that the coverage related changes in the legislation will increase state spending over baseline spending by $20 billion over the 2010 to 2019 period. Other significant federal Medicaid costs over the 2010 to 2019 period are related to: improving payments to primary care practitioners ($8.3 billion) and the Community First Choice Option ($6.09 billion). Significant federal Medicaid savings over the 2010 to 2019 period are related to: Medicaid prescription drug coverage (-$38.14 billion) and reductions in Medicaid disproportionate share hospital (-$14.0 billion).

Medicaid and CHIP Implementation Timeline (PDF | 240.68 KB)

Full report: Medicaid and Children’s Health Insurance Program Provisions in the New Health Reform Law (PDF | 247.77 KB)

Kaiser Family Foundation. (2010).Medicaid and children’s health insurance program provisions in the new health reform law.