Summary of Changes
To Bipartisan Compromise on the Children’s Health
Insurance Program Reauthorization Act of 2007

Provides incentives to find and enroll uninsured children ensuring CHIP remains focused on the lowest-income children.

• Permits States to only receive Federal funding for children covered in CHIP with family incomes up to $51,510 (300% of the Federal poverty level for a family of 3).
• Permits States to receive performance bonus payments only for finding and enrolling the lowest income uninsured children.

Further minimizes the substitution of employer-sponsored coverage with CHIP coverage. 

• Requires all States to submit plans and implement recommended best practices for helping kids already covered stay in employer-sponsored coverage.
• Encourages States to use CHIP dollars to subsidize employer-sponsored health insurance for children as an option.

Targets CHIP for Children.

• Phases out coverage of childless adults after one year.

Clarifies and Strengthens CHIP as a Program for U.S. Citizens.

• Clarifies the role of the Social Security Administration in verifying citizenship for purposes of Medicaid and CHIP eligibility.  SSA will verify name, social security number, and place of birth of enrollees and applicants.  This will assist States in identifying potential non-citizens and permit States to follow-up.
• Clarifies that States will NOT receive Federal funding for payments made to non-citizens.

Revised bill maintains and protects coverage of 10 million children for $35 billion over 5 years.

• Protects the coverage of the 6.6 million children currently insured through CHIP.
• Ensures 3.9 million of the lowest-income uninsured children gain coverage.
• An additional 100,000 of the lowest-income children would be covered under this proposal compared to H.R. 976.
• Extends the effective date of the moratorium on school-based care for the disabled and rehabilitation services from May 24, 2008 to January 1, 2010, on regulations that would deny access to these services.