HR 1901119th CongressIn Committee

CHIPP Act

Introduced: Mar 6, 2025

Standard Summary

Comprehensive overview in 1-2 paragraphs

The CHIPP Act would permanently extend the Children’s Health Insurance Program (CHIP) and make a broad set of related changes to how CHIP and several child health-related programs are funded and operated. The core change is to remove the expiration of CHIP funding and require federal funding to continue for CHIP in perpetuity (starting with fiscal year 2029 and onward). The bill also restructures and expands various related programs and authorities—such as how states can enroll children, how enrollment and outreach are funded, and how certain quality and demonstration programs are financed—with several provisions preserving or modulating funding levels via automatic or CPI-indexed adjustments. In short, the bill seeks to guarantee ongoing CHIP coverage for eligible children and broaden or adjust accompanying programs to support enrollment, affordability, and state flexibility.

Key Points

1Permanent CHIP funding: Amends CHIP provisions so that funding for CHIP allotments to states continues beyond current sunset dates, effectively making CHIP a permanent program with funding for fiscal year 2029 and every subsequent year as needed.
2Expanded funding and flexibility for related programs: Extends and adjusts funding for programs tied to CHIP and child health, including a new ongoing funding approach for the Pediatric Quality Measures Program (with explicit annual amounts starting in 2030 and CPI-indexed increases thereafter).
3Elimination of Express Lane Eligibility option: States would no longer have the Express Lane Eligibility option as part of the Medicaid/CHIP framework.
4Affordability and state options: Reforms to the Assurance of Affordability and other provisions give continuing authority to states and adjust timeframes related to affordability tests and related standards.
5State options to raise eligibility and enrollment funding: Adds authority for states to increase children’s eligibility for CHIP/Medicaid beyond current state maximums and expands outreach, enrollment funding and contingency funding to support enrollment and continuity of coverage.

Impact Areas

Primary group/area affected: Children in low- and middle-income families who rely on CHIP for health insurance, and the state CHIP programs that administer these benefits.Secondary group/area affected: States administering CHIP/Medicaid programs, health care providers serving CHiP-enrolled children, and organizations involved in outreach and enrollment efforts.Additional impacts: Federal budget planning and appropriations dynamics for CHIP and related programs, potential changes in enrollment processes (due to removal of Express Lane Eligibility), and the ability of states to modify eligibility thresholds under certain conditions.CHIP (Children’s Health Insurance Program) is run under title XXI of the Social Security Act. It provides health coverage to certain low-income children who do not qualify for Medicaid.The bill uses “allotments to States” to refer to the federal funds states receive to run CHIP and related programs.Express Lane Eligibility is a mechanism that uses other programs’ data to determine CHIP/Medicaid eligibility more quickly; this bill would remove that option.The bill also makes adjustments to related programs and demonstration projects, including funding mechanisms and enrollment/outreach activities, and adds a state option to increase eligibility thresholds for CHIP/Medicaid.

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