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 <subject>Child health services</subject>
 <subject>Data integrity</subject>
 <subject>Eligibility criteria</subject>
 <subject>Federal funds</subject>
 <subject>Federal/state relations</subject>
 <subject>Health care costs</subject>
 <subject>Health care programs</subject>
 <subject>Health care reform</subject>
 <subject>Health care services</subject>
 <subject>Health insurance</subject>
 <subject>Medicare</subject>
 <subject>Program evaluation</subject>
 <subject>Program management</subject>
 <subject>State programs</subject>
 <subject>Statistical data</subject>
 <subject>State Children&apos;s Health Insurance</subject>
 <subject>Program</subject>
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<titleInfo>
 <title>State Children&apos;s Health Insurance Program: Program Structure, Enrollment and Expenditure Experiences, and Outreach Approaches for States That Cover Adults</title>
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<abstract>In 2006 about 4.5 million individuals were enrolled in the State
Children&apos;s Health Insurance Program (SCHIP). Congress created	 
SCHIP with the goal of significantly reducing the number of	 
low-income uninsured children. Under certain circumstances,	 
states may also cover adults, and in June 2006 about 349,000	 
adults were enrolled. Each state receives an annual allotment of 
federal funds, available as a federal match based on the state&apos;s 
expenditures. Generally, states have 3 years to use each fiscal  
year&apos;s allotment, after which unspent federal funds may be	 
redistributed. Congress initially authorized SCHIP for 10 years, 
from 1998 through 2007, and provided approximately $40 billion	 
for that period. GAO examined (1) how 10 states that cover	 
adults--parents, childless adults, or both--in SCHIP structured  
their programs; (2) these states&apos; enrollment and expenditure	 
experiences for adults, which GAO considered in the context of	 
those for all other SCHIP populations (children and pregnant	 
women); and (3) the approaches these states adopted to attract	 
all eligible individuals. To accomplish this, GAO reviewed 10	 
states that covered adults in SCHIP as of 2007. GAO interviewed  
officials in the 10 states; reviewed states&apos; 2006 annual reports 
and information available on states&apos; Web sites; and analyzed	 
enrollment and expenditure data obtained primarily from the 10	 
states, as well as from the Centers for Medicare &amp; Medicaid	 
Services (CMS) and published sources.</abstract>
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<subject>
 <topic>Child health services</topic>
 <topic>Data integrity</topic>
 <topic>Eligibility criteria</topic>
 <topic>Federal funds</topic>
 <topic>Federal/state relations</topic>
 <topic>Health care costs</topic>
 <topic>Health care programs</topic>
 <topic>Health care reform</topic>
 <topic>Health care services</topic>
 <topic>Health insurance</topic>
 <topic>Medicare</topic>
 <topic>Program evaluation</topic>
 <topic>Program management</topic>
 <topic>State programs</topic>
 <topic>Statistical data</topic>
 <topic>State Children&apos;s Health Insurance</topic>
 <topic>Program</topic>
</subject>
<relatedItem type="isReferencedBy">
 <titleInfo>
  <title>United States Statutes at Large</title>
  <partNumber>Volume 111 Page 251</partNumber>
</titleInfo>
 <identifier type="Statute citation">111 Stat. 251</identifier>
</relatedItem>
<relatedItem type="isReferencedBy">
 <titleInfo>
  <title>United States Statutes at Large</title>
  <partNumber>Volume 120 Page 131-32</partNumber>
</titleInfo>
 <identifier type="Statute citation">120 Stat. 131-32</identifier>
</relatedItem>
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 <titleInfo>
  <title>United States Public Law 33 (105th Congress)</title>
</titleInfo>
 <identifier type="public law citation">Public Law 105-33</identifier>
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<relatedItem type="isReferencedBy">
 <titleInfo>
  <title>United States Public Law 171 (109th Congress)</title>
</titleInfo>
 <identifier type="public law citation">Public Law 109-171</identifier>
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  <title>Code of Federal Regulations</title>
  <partNumber>Title 42 Part 457.10</partNumber>
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