United States Government Publishing Office publisher pbl distributor dst United States Government Accountability Office author aut Government Organization text government publication eng GAOREPORTS Legislative Agency Publications gao legislative 2010-08-12 U.S. Government Printing Office 2007-02-01 monographic deposited born digital 44 p. GA 1.13:GAO-07-447T https://www.govinfo.gov/app/details/GAOREPORTS-GAO-07-447T P0b002ee1803789a2 f:d07447t DGPO 2010-08-12 2011-03-24 GAOREPORTS-GAO-07-447T machine generated eng fdlp REPORT GAOREPORTS-GAO-07-447T GAO-07-447T Allocation (Government accounting) Allotment Children Cost overruns Cost sharing (finance) Federal aid to states Federal law Federal/state relations Health care programs Health insurance Medicaid Medically uninsured Program evaluation Policies and procedures State Children's Health Insurance Program Testimony A65466 In August 1997, Congress created the State Children's Health Insurance Program (SCHIP) with the goal of significantly reducing the number of low-income uninsured children, especially those who lived in families with incomes exceeding Medicaid eligibility requirements. Unlike Medicaid, SCHIP is not an entitlement to services for beneficiaries but a capped allotment to states. Congress provided a fixed amount--$40 billion from 1998 through 2007--to states with approved SCHIP plans. Funds are allocated to states annually. States have 3 years to use each year's allocation, after which unspent funds may be redistributed to states that have already spent all of that year's allocation. GAO's testimony addresses trends in SCHIP enrollment and the current composition of SCHIP programs across the states, states' spending experiences under SCHIP, and considerations GAO has identified for SCHIP reauthorization. GAO's testimony is based on its prior work; analysis of the Current Population Survey, a monthly survey conducted by the U.S. Census Bureau (2003-2005); information from states' annual SCHIP reports (2002-2005); and SCHIP enrollment and expenditure data from the Centers for Medicare & Medicaid Services (1998-2005). https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-07-447T/html/GAOREPORTS-GAO-07-447T.htm https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-07-447T/pdf/GAOREPORTS-GAO-07-447T.pdf GAO-07-447T https://www.govinfo.gov/app/details/GAOREPORTS-GAO-07-447T Testimony GAO-07-447T; Children's Health Insurance: State Experiences in Implementing SCHIP and Considerations for Reauthorization; Allocation (Government accounting) Allotment Children Cost overruns Cost sharing (finance) Federal aid to states Federal law Federal/state relations Health care programs Health insurance Medicaid Medically uninsured Program evaluation Policies and procedures State Children's Health Insurance Program Volume 111 Page 251 111 Stat. 251 Volume 112 Page 1500 112 Stat. 1500 Volume 114 Page 2763 114 Stat. 2763 Volume 117 Page 895-896 117 Stat. 895-896 Volume 120 Page 130 Volume 120 Page 131-132 Volume 120 Page 3675 120 Stat. 130 120 Stat. 131-132 120 Stat. 3675 Public Law 105-33 Public Law 105-174 Public Law 106-554 Public Law 108-74 Public Law 109-171 Public Law 109-482