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 2008-05-15 monographic deposited born digital 15 p. GA 1.13:GAO-08-785T https://www.govinfo.gov/app/details/GAOREPORTS-GAO-08-785T P0b002ee18037c21d f:d08785t DGPO 2010-08-12 2011-03-23 GAOREPORTS-GAO-08-785T machine generated eng fdlp REPORT GAOREPORTS-GAO-08-785T GAO-08-785T Access to health care Accountability Administrative law Child health services Children Eligibility determinations Federal regulations Health care cost control Health care costs Health care planning Health care programs Health insurance Medicaid Reporting requirements Requirements definition State-administered programs Strategic planning State Children's Health Insurance Program Testimony A82123 The State Children's Health Insurance Program (SCHIP) finances health care to low-income, uninsured children whose family incomes exceed the eligibility limits under their state's Medicaid program, but who cannot afford other health insurance coverage. To participate in SCHIP, a state must submit a plan that describes how its program meets applicable requirements and must receive approval of the plan from the Centers for Medicare & Medicaid Services (CMS). On August 17, 2007, CMS issued a letter purporting to clarify statutory and regulatory requirements related to preventing SCHIP substitution for other insurance coverage in states wishing to cover children with effective family incomes in excess of 250 percent of the federal poverty level (FPL). The letter indicates that CMS will apply measures identified in the letter to state proposals to cover these children, as well as to states that already cover them, and may take corrective action against states that fail to adopt the measures within 12 months. In response to a request from the Chairman of the Subcommittee on Health Care, Senate Committee on Finance, and a member of that Subcommittee, GAO considered whether the letter is a rule under the Congressional Review Act (the Review Act). This testimony is based on the resulting opinion, Applicability of the Congressional Review Act to Letter on State Children's Health Insurance Program, B-316048, April 17, 2008. https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-08-785T/html/GAOREPORTS-GAO-08-785T.htm https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-08-785T/pdf/GAOREPORTS-GAO-08-785T.pdf GAO-08-785T https://www.govinfo.gov/app/details/GAOREPORTS-GAO-08-785T Testimony GAO-08-785T; Congressional Review Act: Applicability to CMS Letter on State Children's Health Insurance Program; Access to health care Accountability Administrative law Child health services Children Eligibility determinations Federal regulations Health care cost control Health care costs Health care planning Health care programs Health insurance Medicaid Reporting requirements Requirements definition State-administered programs Strategic planning State Children's Health Insurance Program Volume 110 Page 847 110 Stat. 847 Public Law 104-121