Statistics on children, youth and families in Pennsylvania from the Annie E. Casey Foundation and Pennsylvania Partnerships for Children
Children's Health Insurance Program (CHIP) - Children (birth to age 18) by age group in Pennsylvania
Children's Health Insurance Program (CHIP) - Children (birth to age 18) by age group
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Why This Indicator Matters
Pennsylvania has experienced significant fluctuations in the number of children enrolled in CHIP over the past decade, which is most likely due to Affordable Care Act (ACA) expansions as well as the COVID-19 pandemic producing substantial growth in Medicaid enrollment. During the public health crisis, “declines in CHIP enrollment for some states could reflect changes in family income, causing children to move from CHIP to Medicaid coverage.”[4] Providing healthcare coverage to low-income families is important because it ultimately plays a crucial role in their ability to live a productive, secure, and healthy life.[5] In fact, research suggests that children enrolled in CHIP experience numerous positive long-term outcomes, including improved school performance, higher educational attainment, and increased economic well-being and productivity.[6] Having health insurance coverage is also associated with better health-related outcomes, including chronic conditions, cancer, and life expectancy.[7]
[1] Pennsylvania Department of Human Services. (2022). CHIP. https://www.dhs.pa.gov/CHIP/Pages/CHIP.aspx
[2] Kaiser Family Foundation. (2015). CHIP Program Name and Type. https://www.kff.org/other/state-indicator/chip-program-name-and-type/?currentTimeframe=0&sortModel=%7B"colId":"Location","sort":"asc"%7D
[3] Pennsylvania Department of Human Services. (2022). CHIP Income Guidelines Chart. https://www.dhs.pa.gov/CHIP/Eligibility-and-Benefits/Documents/CHIP%20Income%20Guidelines%20Chart%202022%20(Effective%203-1-2022).pdf
[4] Corallo, B. & Moreno, S. (2022). Analysis of Recent National Trends in Medicaid and CHIP Enrollment. Kaiser Family Foundation. https://www.kff.org/coronavirus-covid-19/issue-brief/analysis-of-recent-national-trends-in-medicaid-and-chip-enrollment/
[5] American Hospital Association. (2019). The Importance of Health Coverage. https://www.aha.org/system/files/media/file/2019/10/report-importance-of-health-coverage_1.pdf
[6] Paradise, J. (2014). The Impact of Children’s Health Insurance Program (CHIP): What Does the Research Tell Us? Kaiser Family Foundation. https://www.kff.org/report-section/the-impact-of-the-childrens-health-insurance-program-chip-issue-brief/
[7] Bovbjerg, R.R. & Hadley, J. (2007). Why Health Insurance is Important. The Urban Institute, Healthy Policy Briefs. https://www.urban.org/sites/default/files/publication/46826/411569-Why-Health-Insurance-Is-Important.PDF
Definition and Source
PROVIDER
Definition
Data Source
Notes
S = Suppressed.
CHIP enrollment decreased in the last six months of calendar year 2014 because children living in families with income no greater than 133% of poverty moved to Medicaid at the time of renewal (as a result of the ACA’s Medicaid eligibility level increasing). Since the transition to Medicaid for all of those children was completed at the end of 2014, the first six calendar months of 2015 have seen a slight increase in children enrolled in CHIP due to CHIP outreach efforts.
As discussed in our State of Children's Health Reports, a key factor affecting increased enrollment within Medicaid was the disenrollment freeze that began March 18, 2020, implemented in the Families First Coronavirus Response Act (FFCRA). This freeze remained in place until the federal public health emergency (PHE) ended in April 2023. Unlike Medicaid, the Children’s Health Insurance Program (CHIP) was not included in the FFCRA freeze, meaning that children were not guaranteed to keep their CHIP coverage during the PHE. As such, much of the decrease in CHIP enrollments occurred for children whose family income fell within Medicaid eligibility and were appropriately transferred. Those children retained coverage in Medicaid due to the disenrollment freeze regardless of any additional fluctuations in family income.
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